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Organization
WISCONSIN ORTHOPEDIC PHYSICAL THERAPY
Active
Organization
WISCONSIN ORTHOPEDIC PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROBERTS PT (OWNER)
(414) 763-2941
Entity
Organization
Contact information
Practice address
590 W NORTH SHORE DR, HARTLAND, WI 53029-8312
(414) 763-2941
(414) 930-4739
Mailing address
3825 N KENMORE AVE, CHICAGO, IL 60613-6397
(312) 654-3939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
08/20/2024
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