Individual
MRS. MARY BETH SCALISE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(262) 243-7465
Mailing address
2305 W PLUM TREE CT, MEQUON, WI 53092-5523
(262) 512-0789
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3755-024
WI
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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