Nora De Lise, D.P.T.
Physical Therapist in West Bend, WI. Individual provider (NPI-1).
NPI number1629488481
StatusActive
Last updated in NPPESMay 2, 2014
Details
- NPI
- 1629488481
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nora De Lise
- Credential
- D.P.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2014
- Last updated
- May 2, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 11854-24 | WI | Yes |
Practice location
5595 County Road ZWest Bend, WI 53095-9224
Phone 262-306-2691 · Fax 262-306-2689
Mailing address
5595 County Road ZWest Bend, WI 53095-9224
Phone 262-306-2691 · Fax 262-306-2689
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