Individual
KRISTEN TESS GOLLNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1249 W LIEBAU RD, MEQUON, WI 53092-3396
(262) 243-4161
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13096-24
WI
Other
Enumeration date
05/29/2015
Last updated
11/03/2022
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