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Organization
MILWAUKEE ADVANCED PHYSICAL THERAPY, LLC
Active
Organization
MILWAUKEE ADVANCED PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANTANA DEACON PT (PHYSICAL THERAPIST/CO OWNER)
(414) 517-6585
Entity
Organization
Contact information
Practice address
1626 W FOND DU LAC AVE, MILWAUKEE, WI 53205-1228
(414) 436-5155
Mailing address
1626 W FOND DU LAC AVE, MILWAUKEE, WI 53205-1228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/10/2020
Last updated
05/10/2020
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