Individual
EGLI SPAHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3677
(414) 646-8000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 646-8000
(414) 646-8010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13865-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100190839
—
WI
Enumeration date
01/04/2022
Last updated
03/01/2022
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