Lakes Area Physical Therapy, LLC

NPI #1588845804 in Lake Geneva, Wisconsin

Provider Information

NPI Number: 1588845804
Entity Type: Organization
Organization Name: Lakes Area Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 15, 2007
Last Updated: Apr 7, 2010

Practice Location

Address: 800 GENEVA PKWY N
Address 2: SUITE 3
City: Lake Geneva
State: Wisconsin
ZIP Code: 53147-5701
Phone: (262) 248-9902

Authorized Official

Name: JOHN R VAN SUSTEREN
Title: PHYSICAL THERAPIS / OWNER
Phone: (262) 248-9902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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