Individual
MS. DELORES MARY GEMIGNANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6308 8TH AVE, KENOSHA, WI 53143-5031
(262) 656-2088
(262) 653-5741
Mailing address
6308 8TH AVE, KENOSHA, WI 53143-5031
(262) 656-2088
(262) 653-5741
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1088019
WI
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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