Individual
SHADA RIOPELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
10150 W NATIONAL AVE STE 150, MILWAUKEE, WI 53227-2145
(800) 882-0886
Mailing address
9418 N GREEN BAY RD APT 302, BROWN DEER, WI 53209-1071
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1934-19
WI
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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