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Organization
THERAPY AT HOME LLC
Active
Organization
THERAPY AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUDDASSIR MOHIUDDIN (PHYSICAL THERAPIST)
(414) 210-0088
Entity
Organization
Contact information
Practice address
7711 FREELAND CT, GREENDALE, WI 53129
(414) 210-0088
Mailing address
7711 FREELAND CT, GREENDALE, WI 53129-1658
(414) 210-0088
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
NULL
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
08/15/2023
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