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Organization
WISCONSIN THERAPISTS LTD.
Active
Organization
WISCONSIN THERAPISTS LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS HOME PT. (PRESIDENT)
(608) 359-2677
Entity
Organization
Contact information
Practice address
2737 PRAIRIE AVE, BELOIT, WI 53511-2246
(608) 299-8181
(608) 299-8281
Mailing address
635 E HIGH ST, MILTON, WI 53563-1556
(608) 299-8181
(608) 299-8281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.014400
IL
225100000X
Physical Therapist
Primary
2282-024
WI
225X00000X
Occupational Therapist
056.007747
IL
225X00000X
Occupational Therapist
0977-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41220400
—
WI
Enumeration date
04/09/2007
Last updated
05/01/2015
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