Individual
MRS. KATHLEEN JO SINCLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2654 N 97TH ST, WAUWATOSA, WI 53226-1650
(414) 475-7312
Mailing address
2654 N 97TH ST, WAUWATOSA, WI 53226-1650
(414) 475-7312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3662-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40276400
—
WI
Enumeration date
09/06/2008
Last updated
09/06/2008
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