Individual
JULIE E MIESFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7201 120TH AVE, KENOSHA, WI 53142-7305
(262) 857-4400
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982919304
—
WI
Enumeration date
08/10/2010
Last updated
12/16/2010
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