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Organization
PT PROS LLC
Active
Organization
PT PROS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH A TENUTA MBA (SENIOR VICE PRESIDENT/COO)
(262) 925-5000
Entity
Organization
Contact information
Practice address
3921 30TH AVE STE C, KENOSHA, WI 53144-1957
(262) 925-5000
(262) 925-5001
Mailing address
3921 30TH AVE STE C, KENOSHA, WI 53144-1957
(262) 925-5004
(262) 925-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/11/2015
Last updated
06/05/2020
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