Individual
RUTH GOSSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 N MILWAUKEE ST, STE 208, MILWAUKEE, WI 53202-5885
(414) 615-0665
Mailing address
614 17TH ST, KENOSHA, WI 53140-1306
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
215-019
WI
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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