Individual
GAIL M HOMONTOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3744 S CHEROKEE WAY, MILWAUKEE, WI 53221-5753
(414) 615-0665
Mailing address
3744 S CHEROKEE WAY, MILWAUKEE, WI 53221-5753
(414) 615-0665
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1546-19
WI
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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