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Individual

KELLY JEAN PRONSCHINSKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
18601 LINCOLN ST, WHITEHALL, WI 54773-8605
(715) 538-1712
Mailing address
18601 LINCOLN ST, WHITEHALL, WI 54773-8605
(715) 538-1712

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14191
WI

Other

Enumeration date
08/07/2018
Last updated
08/07/2018
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