Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 10076 | WI |
NPI | 1003018219 |
---|---|
Provider Name | Monica E Uselding |
First Address | Milwaukee, WI 53215-2843 |
Second Address | Twin Lakes, WI 53181-9436 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 08/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
40471000 | (05) | WI |