Organization
MARK J NEU PT, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J NEU (OWNER)
(262) 925-0200
Entity
Organization
Contact information
Practice address
5024 GREEN BAY RD, KENOSHA, WI 53144-1702
(262) 925-0200
Mailing address
5024 GREEN BAY RD, KENOSHA, WI 53144-1702
(262) 925-0200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4727-24
WI
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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