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Individual

KATHLEEN S FONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8619 S HOWELL AVE, OAK CREEK, WI 53154-2919
(800) 974-4378
(630) 515-1536
Mailing address
2547 PLAINFIELD NAPERVILLE RD STE 152, NAPERVILLE, IL 60564-8701
(800) 974-4378
(630) 515-1536

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3944-24
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3944-24
STATE OF WISCONSIN
WI
Enumeration date
09/24/2019
Last updated
09/24/2019
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