Individual
MS. PATRICIA A CRESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 C A BECKER DR, RACINE, WI 53406-4714
(262) 898-2777
(262) 619-1547
Mailing address
9256 S 96TH ST, FRANKLIN, WI 53132-9518
(262) 994-0596
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
16119
WI
314000000X
Skilled Nursing Facility
161-019
WI
Other
Enumeration date
05/22/2007
Last updated
12/06/2016
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