Individual
RILEY BROTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 WASHINGTON RD, KENOSHA, WI 53144-1640
(262) 358-8267
Mailing address
3615 WASHINGTON RD, KENOSHA, WI 53144-1640
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
IL
235Z00000X
Speech-Language Pathologist
Primary
—
WI
Other
Enumeration date
06/08/2021
Last updated
07/28/2022
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