Individual
MATTHEW LONCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2448 S 102ND ST, MILWAUKEE, WI 53227-2466
(414) 329-2500
Mailing address
403 GILLETTE ST APT 109, LA CROSSE, WI 54603-4219
(608) 448-8757
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
320819
WI
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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