is a Orthopedic in Wauwatosa, Wisconsin. practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for is 1407013204. The last update date is .
's current location address is 201 N Mayfair Rd, Wauwatosa, Wisconsin. You can contact this provider via phone number 4142597275 and fax number 4142597515. The mailing address for is 201 N Mayfair Rd, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 201 N Mayfair Rd, Wauwatosa, Wisconsin |
| Phone Number | 4142597275 |
| Fax Number | 4142597515 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1407013204 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 201 N Mayfair Rd |
|---|---|
| City | Wauwatosa |
| State | Wisconsin (WI) |
| Post Code | 532264216 |
| Phone Number | 4142597275 |
| Fax Number | 4142597515 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 4623-024 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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