Individual
MR. DANIEL P BLECHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3601 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3708
(414) 764-4100
Mailing address
5049 W COLLEGE AVE APT 63, GREENDALE, WI 53129-2952
(414) 687-0030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1145-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40400400
—
WI
Enumeration date
05/20/2007
Last updated
07/09/2007
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