Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 3491 | WI |
NPI | 1093485351 |
---|---|
Provider Name | Michelle Snowden-Felerski |
First Address | West Allis, WI 53227-2409 |
Second Address | West Allis, WI 53227-2409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2021 |
Last Update Date | 17/09/2021 |