Individual
DENISE VAVRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
800 GENEVA PKWY N, SUITE 3, LAKE GENEVA, WI 53147-5701
(262) 248-9902
Mailing address
S67W29571 COUNTY ROAD I, MUKWONAGO, WI 53149-9717
(262) 968-2303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4526-24
WI
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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