Individual
MS. KATIE L ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9047 W GREENFIELD AVE, WEST ALLIS, WI 53214-2808
(414) 607-0910
Mailing address
9047 W GREENFIELD AVE, WEST ALLIS, WI 53214-2808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11253-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891928115
—
WI
Enumeration date
09/02/2009
Last updated
04/02/2014
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