Fresh Start Physical Therapy LLC

NPI #1447888136 in Mequon, Wisconsin

Provider Information

NPI Number: 1447888136
Entity Type: Organization
Organization Name: Fresh Start Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 30, 2020
Last Updated: Dec 4, 2024

Practice Location

Address: 10412 N BAEHR RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-4472
Phone: (262) 236-0176

Authorized Official

Name: CHARISE WORTHINGTON
Title: BUSINESS MANAGER
Phone: (262) 236-0176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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