Individual
MISS KAITLYN SUE HEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3300 W BREWSTER ST, APPLETON, WI 54914
(920) 832-1657
Mailing address
3300 W BREWSTER ST, APPLETON, WI 54914-6444
(920) 832-1657
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2780-19
WI
Other
Enumeration date
06/07/2018
Last updated
08/23/2018
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