Individual
CAROLINE CIPRIANO HANNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2195 N SUMMIT VILLAGE WAY, OCONOMOWOC, WI 53066-8675
(262) 560-2426
Mailing address
2195 N SUMMIT VILLAGE WAY, OCONOMOWOC, WI 53066-8675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1162324
WI
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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