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Organization
PRO STEP PHYSICAL THERAPY LLC
Active
Organization
PRO STEP PHYSICAL THERAPY LLC
Active
Parent organization
THERAPY PLUS OF WISCONSIN
Other names
Therapy Plus of Wisconsin LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THERAPY PLUS OF WISCONSIN
Authorized official
MR. ROBERT F FREDIANI (MEMBER)
(414) 791-0813
Entity
Organization
Contact information
Practice address
10233 W GREENFIELD AVE, MILWAUKEE, WI 53214-3911
(414) 791-0813
(262) 364-2248
Mailing address
8619 S. HOWELL AVENUE, OAK CREEK, WI 53154
(414) 856-1888
(414) 856-1891
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891889093
PRO STEP NPIN NUMBER
WI
05
—
36102100
—
WI
05
—
40440600
—
WI
05
—
40541400
—
WI
05
—
40602700
—
WI
05
—
41044000
—
WI
01
—
9560-024
PHYSICAL THERAPY LICENSE
WI
Enumeration date
10/03/2006
Last updated
05/22/2008
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