Individual
MONALISA KILLERBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 W LOOMIS RD, GREENFIELD, WI 53220-4819
(414) 325-5300
Mailing address
3908 N 87TH ST, MILWAUKEE, WI 53222-2863
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
275485
WI
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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