Individual
MICHELLE LAFAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
102 W FULTON ST, EDGERTON, WI 53534-1839
(608) 561-7733
Mailing address
102 W FULTON ST, EDGERTON, WI 53534-1839
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16314-24
WI
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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