Individual
CAREY E KALICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6344 PERSHING BLVD, KENOSHA, WI 53142-3275
(262) 344-1785
Mailing address
6344 PERSHING BLVD, KENOSHA, WI 53142-3275
(262) 344-1785
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2064-19
WI
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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