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Organization
PHYSICALLY CORRECT PHYSICAL THERAPY SERVICES, LLC
Active
Organization
PHYSICALLY CORRECT PHYSICAL THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP WILLIAM BERGOLD PT (OWNER)
(414) 940-7278
Entity
Organization
Contact information
Practice address
5889 RIVERSIDE DR, GREENDALE, WI 53129-2817
(414) 940-7278
(414) 235-4884
Mailing address
PO BOX 370081, MILWAUKEE, WI 53237-1181
(414) 940-7278
(414) 235-4884
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
5058-024
WI
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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