Athletic and Therapeutic Institute of Milwaukee, LLC

NPI #1619252236 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1619252236
Entity Type: Organization
Organization Name: Athletic and Therapeutic Institute of Milwaukee, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 14, 2011
Last Updated: Mar 22, 2012

Practice Location

Address: 2330 N FARWELL AVE
City: Milwaukee
State: Wisconsin
ZIP Code: 53211-4401
Phone: (414) 220-9084

Authorized Official

Name: LYNN MCGIVERN
Title: CHIEF COMPLIANCE OFFICER
Phone: (630) 296-2222

Specialties & Taxonomy Codes

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

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