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Individual

MICHELE SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9030 W HADLEY ST, MILWAUKEE, WI 53222-4634
(414) 479-9923
Mailing address
W294N6896 LYNWOOD DR, HARTLAND, WI 53029-9239

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1479-19
WI

Other

Enumeration date
09/21/2010
Last updated
09/21/2010
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