Individual
DONNA MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
N26W23977 WATERTOWN RD, WAUKESHA, WI 53188-1006
(262) 523-0933
Mailing address
N26W23977 WATERTOWN RD, WAUKESHA, WI 53188-1006
(262) 523-0933
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
143019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225200000X
—
WI
Enumeration date
11/13/2009
Last updated
11/13/2009
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