# PHYSICALLY CORRECT PHYSICAL THERAPY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710323563
- **Authorized official:** MR. PHILIP WILLIAM BERGOLD PT (OWNER)
- **Authorized official phone:** (414) 940-7278

## Contact information

- **Practice address:** 5889 RIVERSIDE DR, GREENDALE, WI 53129-2817
- **Practice address phone:** (414) 940-7278
- **Practice address fax:** (414) 235-4884
- **Mailing address:** PO BOX 370081, MILWAUKEE, WI 53237-1181
- **Mailing address phone:** (414) 940-7278
- **Mailing address fax:** (414) 235-4884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | 5058-024 | WI | Yes |

## Other

- **Enumeration date:** 05/21/2013
- **Last updated:** 05/21/2013