Individual
LISA MARIE ROFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1237 S 93RD ST, WEST ALLIS, WI 53214-2712
(414) 218-2084
Mailing address
1237 S 93RD ST, WEST ALLIS, WI 53214-2712
(414) 218-2084
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1173-019
WI
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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