WISCONSIN CENTER FOR MYOFASCIAL RELEASE, SC
Occupational Therapy at 60 St, Kenosha, WI

License number
Wisconsin 3534-026
Category
Restorative Service Providers
Type
Occupational Therapist
Owner
Name: MRS. PRISCILLA LINDA HORSWELL
Title: OFFICE MANAGER
Phone: (262) 652-1111
Address
Address
4103 60Th St, Kenosha, WI 53144
National Provider ID: 1104042902
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WISCONSIN CENTER FOR MYOFASCIAL RELEASE, S.C

4103 60 St, Kenosha, WI 53144

Industry:
Health Practitioner's Office
Doing business as:
Wisconsin Center for Myofascial
Registration:
Apr 3, 2001
State ID:
W041895
Business type:
Service Corporation
Occupational Industrial Specialist, Owners:
Deana L. Smith (Office Manager),Kelly Chansky (Occupational Industrial Specialist, Owner)

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