Sport Clinic Physical Therapy INC

NPI #1912918475 in Bayside, Wisconsin

Provider Information

NPI Number: 1912918475
Entity Type: Organization
Organization Name: Sport Clinic Physical Therapy INC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 10, 2006
Last Updated: Jun 12, 2012

Practice Location

Address: 8911 N PORT WASHINGTON RD
Address 2: SPORT CLINIC PHYSICAL THERAPY INC
City: Bayside
State: Wisconsin
ZIP Code: 53217-1634
Phone: (414) 351-5794

Authorized Official

Name: JOHN A HENDRICKSON, PT
Title: OWER PRESIDENT
Phone: (414) 351-5794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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