Five Corners Physical Therapy S.c.
NPI #1427195304 in Cedarburg, Wisconsin
Provider Information
- NPI Number
- 1427195304
- Entity Type
- Organization
- Organization Name
- Five Corners Physical Therapy S.c.
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jan 31, 2007
- Last Updated
- Sep 11, 2025
Practice Location
Authorized Official
- Name
- MR. TIMOTHY JOHN PROVENCHER, PT
- Title
- PRESIDENT
- Phone
- (262) 377-8350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Speech-Language Pathologist |
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