At-Home Auto Accident Treatment, LLC

NPI #1053756700 in West Allis, Wisconsin

Provider Information

NPI Number: 1053756700
Entity Type: Organization
Organization Name: At-Home Auto Accident Treatment, LLC
Primary Specialty: Chiropractor
Enumeration Date: May 8, 2013
Last Updated: May 8, 2013

Practice Location

Address: 5800 W NATIONAL AVE
City: West Allis
State: Wisconsin
ZIP Code: 53214-3446
Phone: (262) 682-1101

Authorized Official

Name: DR. BRIAN FORMOLO, D.C.
Title: OWNER
Phone: (262) 682-1101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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