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Organization
MIRACLE PHYSICAL THERAPY AND REHAB SPECIALISTS LLC
Active
Organization
MIRACLE PHYSICAL THERAPY AND REHAB SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY BRIAND PT (OWNER)
(877) 852-2996
Entity
Organization
Contact information
Practice address
2333 W RYAN RD, OAK CREEK, WI 53154-4322
(877) 552-2996
Mailing address
PO BOX 3497, STURTEVANT, WI 53177-0300
(877) 552-2996
(866) 245-8064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4072024
WI
Other
Enumeration date
02/28/2008
Last updated
05/18/2010
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