Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 4768-024 | WI |
NPI | 1003017559 |
---|---|
Provider Name | Brandy Helchen |
First Address | Menomonee Falls, WI 53051-5873 |
Second Address | Milwaukee, WI 53226-3533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 08/07/2007 |