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Individual

MRS. KRISTINE LYNN DAHLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
19525 W NORTH AVENUE, FRANCISCAN WOODS, BROOKFIELD, WI 53045
(262) 780-3810
(262) 780-3805
Mailing address
7616 HARWOOD AVE, APT 301, WAUWATOSA, WI 53213
(414) 453-1958

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6270024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40319700
WI
Enumeration date
06/07/2007
Last updated
09/14/2007
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