Individual
MRS. ANTOINETTE JOANNE KLAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5663 S 27TH ST, MILWAUKEE, WI 53221-4107
(414) 282-7810
Mailing address
5663 S 27TH ST, MILWAUKEE, WI 53221-4107
(414) 282-7810
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1467-019
WI
Other
Enumeration date
09/07/2009
Last updated
09/07/2009
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