Individual
MRS. SUSAN JO ANN KLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1834 W WISCONSIN AVE, MILWAUKEE, WI 53233-2125
(414) 933-9813
Mailing address
N5977 STATE ROAD 57, BELGIUM, WI 53004-9778
(920) 994-4988
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
379 - 019
WI
Other
Enumeration date
05/04/2007
Last updated
09/24/2008
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