Athletic & Therapeutic Institute of Milwaukee, LLC

NPI #1245424464 in Mequon, Wisconsin

Provider Information

NPI Number: 1245424464
Entity Type: Organization
Organization Name: Athletic & Therapeutic Institute of Milwaukee, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 30, 2007
Last Updated: Mar 4, 2009

Practice Location

Address: 10945 N PORT WASHINGTON RD
Address 2: SUITE 208
City: Mequon
State: Wisconsin
ZIP Code: 53092-5078
Phone: (262) 241-6777

Authorized Official

Name: MARK BOGOVICH
Title: CFO
Phone: (630) 296-2223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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