Individual
LYNNE MARIE BREISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3988-24
WI
225100000X
Physical Therapist
4733
MN
Other
Enumeration date
02/06/2008
Last updated
09/07/2019
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