NPI 1013133040

Debra Lynn Ahlborn, COTA

Practitioner Physical Therapy Assistant Greenfield, WI

Practice location

Address: 3939 S 92nd St Clement Manor, Greenfield, WI 53228-1455
Phone: (414) 546-7346
Fax: (414) 546-1825
Mailing address: 3744 W Holmes Ave, Greenfield, WI 53221-2516

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 668027 (WI)

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Registry record

NPI: 1013133040
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.