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Organization

FREEDOM PHYSICAL THERAPY SERVICES SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER J STATHAS PT (PRESIDENT)
(414) 352-2082
Entity
Organization

Contact information

Practice address
6908 N SANTA MONICA BLVD, FOX POINT, WI 53217-3942
(414) 352-2082
(414) 352-5279
Mailing address
6908 N SANTA MONICA BLVD, FOX POINT, WI 53217-3942
(414) 352-2082
(414) 352-5279

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40418500
WI
Enumeration date
09/09/2005
Last updated
10/05/2012
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