Individual
NIKAYLA RM TELINDERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 26TH AVE, MONROE, WI 53566-1531
(608) 325-9141
Mailing address
310 WAUONA TRL, PORTAGE, WI 53901-2541
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1887-19
WI
Other
Enumeration date
04/15/2013
Last updated
12/08/2014
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