Sports Physical Therapists of Cudahy LLC

NPI #1679014120 in Cudahy, Wisconsin

Provider Information

NPI Number: 1679014120
Entity Type: Organization
Organization Name: Sports Physical Therapists of Cudahy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 16, 2017
Last Updated: Jun 5, 2020

Practice Location

Address: 3503 E LAYTON AVE
Address 2: STE 100
City: Cudahy
State: Wisconsin
ZIP Code: 53110-1408
Phone: (262) 925-5000

Authorized Official

Name: CARMELO TENUTA, PT
Title: PRESIDENT / CEO
Phone: (262) 925-5000

Specialties & Taxonomy Codes

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

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