Individual
EKATERINA V EISFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8911 N PORT WASHINGTON RD, BAYSIDE, WI 53217-1634
(414) 351-5794
(414) 351-2770
Mailing address
8911 N PORT WASHINGTON RD, BAYSIDE, WI 53217-1634
(414) 351-5794
(414) 351-2770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14499-24
WI
Other
Enumeration date
09/04/2013
Last updated
01/10/2019
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