Individual
STELLA VIKTORIVNA MEINERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3100 WASHINGTON RD, KENOSHA, WI 53144-1604
(262) 658-4074
Mailing address
1916 POLARIS AVE, RACINE, WI 53404-2255
(262) 619-9839
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
491-019
WI
Other
Enumeration date
03/19/2007
Last updated
05/16/2008
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