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Organization
MIDWEST PEDIATRIC THERAPY LLC
Active
Organization
MIDWEST PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA-LEE SCHWEFEL MS OTR/L (OWNER)
(262) 248-6855
Entity
Organization
Contact information
Practice address
921 PARK DR, SUITE A, LAKE GENEVA, WI 53147-4620
(262) 248-6855
(262) 248-6840
Mailing address
921 PARK DR, SUITE A, LAKE GENEVA, WI 53147-4620
(262) 248-6855
(262) 248-6840
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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