Individual
BRENDA LEE HEINECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
(414) 615-0665
Mailing address
11920 W JANESVILLE RD, APT 4A, HALES CORNERS, WI 53130-2372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1229724
WI
Other
Enumeration date
05/23/2013
Last updated
10/08/2013
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