Freedom Physical Therapy Services Sc

NPI #1063406544 in Fox Point, Wisconsin

Provider Information

NPI Number: 1063406544
Entity Type: Organization
Organization Name: Freedom Physical Therapy Services Sc
Primary Specialty: Physical Therapist
Enumeration Date: Sep 9, 2005
Last Updated: Oct 5, 2012

Practice Location

Address: 6908 N SANTA MONICA BLVD
City: Fox Point
State: Wisconsin
ZIP Code: 53217-3942
Phone: (414) 352-2082

Authorized Official

Name: MR. PETER J STATHAS, PT
Title: PRESIDENT
Phone: (414) 352-2082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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