Individual
MRS. SHELBY MARILYN MARIE KALLIO-CROTTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
905 E GENEVA ST, DELAVAN, WI 53115-1922
(262) 728-6319
Mailing address
GOODHUE HALL #200, 800 WEST MAIN STREET, WHITEWATER, WI 53190
(262) 951-8774
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2755-19
WI
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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