Individual
LIESL M STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1516 S COMMERCIAL ST, NEENAH, WI 54956-4802
(920) 831-5050
(920) 735-7648
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 831-5050
(920) 735-7648
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4931
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40300400
—
WI
Enumeration date
08/10/2006
Last updated
11/07/2023
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