MR. John Liddell, PHYSICAL THERAPIST

NPI #1972969988 in Mequon, Wisconsin

Provider Information

NPI Number: 1972969988
Entity Type: Individual
Name: MR. John Liddell, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Jan 6, 2016
Last Updated: May 8, 2016

Practice Location

Address: 1516 W MEQUON RD
Address 2: STE 201
City: Mequon
State: Wisconsin
ZIP Code: 53092-3264
Phone: (262) 241-8402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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