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Organization
WESTON PHYSICAL THERAPY AND SPORTS REHAB, LLC
Active
Organization
WESTON PHYSICAL THERAPY AND SPORTS REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELROY DAVID KOSKEY PT (OWNER)
(715) 241-9331
Entity
Organization
Contact information
Practice address
4203 SCHOFIELD AVE, SUITE 9, WESTON, WI 54476-2708
(715) 241-9331
Mailing address
4203 SCHOFIELD AVE, SUITE 9, WESTON, WI 54476-2708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5964-024
WI
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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