Individual
KIMBERLY MIKLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4500 W LOOMIS RD, GREENFIELD, WI 53220-4819
(414) 325-5300
Mailing address
4500 W LOOMIS RD, GREENFIELD, WI 53220-4819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12000-24
WI
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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