Individual
KELLY MARIE LEHOUILLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3305 N BALLARD RD STE C, APPLETON, WI 54911-9001
(920) 735-9234
Mailing address
3305 N BALLARD RD STE C, APPLETON, WI 54911-9001
(920) 735-9234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11983-24
WI
Other
Enumeration date
08/28/2012
Last updated
09/03/2012
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