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Individual

MRS. MICHELLE P RISTAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2455 N 124TH ST, BROOKFIELD, WI 53005-4630
(414) 294-8682
(414) 755-1829
Mailing address
2455 N 124TH ST, BROOKFIELD, WI 53005-4630
(414) 294-8682
(414) 755-1829

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10704024
WI

Other

Enumeration date
10/06/2006
Last updated
10/14/2012
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