Individual
KRISTIN ANN DVORACHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3613 S 13TH ST, SHEBOYGAN, WI 53081-7253
(920) 458-4040
(920) 208-2982
Mailing address
3613 S 13TH ST, SHEBOYGAN, WI 53081-7253
(920) 458-4040
(920) 208-2982
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
706019
WI
Other
Enumeration date
02/08/2006
Last updated
01/17/2012
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