Individual
NICKOLE WEFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3601 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3708
(542) 541-4570
Mailing address
3601 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3708
(414) 570-5425
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2772-19
WI
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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