Individual
KIM MAGGIORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
912 N HAWLEY RD, MILWAUKEE, WI 53213-3222
(414) 615-0100
Mailing address
N54W17640 WALNUT WAY, MENOMONEE FALLS, WI 53051-7853
(262) 415-5136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40208800
—
WI
Enumeration date
05/15/2007
Last updated
10/12/2020
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