Organization
ADVANTAGE PT & SPORTS REHAB LLC
Active
Other names
CORA Physical Therapy - Lincoln Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN D KENNEDY (SENIOR VP)
(419) 221-6717
Entity
Organization
Contact information
Practice address
2512 W LINCOLN AVE, MILWAUKEE, WI 53215-2575
(414) 383-4600
(419) 222-0507
Mailing address
PO BOX 150, LIMA, OH 45802-0150
(419) 221-6717
(419) 222-0507
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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