Stephanie A Mikoliczak, PT

NPI #1164672911 in Woodruff, Wisconsin

Provider Information

NPI Number: 1164672911
Entity Type: Individual
Name: Stephanie A Mikoliczak, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 29, 2008
Last Updated: Sep 29, 2008

Practice Location

Address: 240 MAPLE ST
City: Woodruff
State: Wisconsin
ZIP Code: 54568-9190
Phone: (715) 356-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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