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Organization

SORUM PHYSIOTHERAPY, LLC

Active
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Organization

SORUM PHYSIOTHERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATHANAEL PHILIP SORUM PT (OWNER/PRESIDENT)
(414) 429-3030
Entity
Organization

Contact information

Practice address
19575 JANACEK CT, SUITE 103, BROOKFIELD, WI 53045-7101
(414) 429-3030
Mailing address
5055 S 84TH ST, GREENDALE, WI 53129-1006
(414) 429-3030

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1170424
WI

Other

Enumeration date
01/06/2015
Last updated
01/06/2015
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