Individual
DAWNE MARIE MANISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-5241
Mailing address
7236 N CROSSWAY RD, FOX POINT, WI 53217-3519
(414) 228-6416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3936-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40240200
—
WI
Enumeration date
04/29/2008
Last updated
04/29/2008
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