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Organization

EAST MEETS WEST THERAPEUTICS SC

Active
Parent organization
SHALOM EX-IMPORT, INC.
Other names
East Meets West Therapeutics
Organization subpart
Yes

Provider details

NPI number
Legal business name
SHALOM EX-IMPORT, INC.
Authorized official
JOAN PELAYO PT, DPT, L.AC. (PRESIDENT)
(847) 226-8358
Entity
Organization

Contact information

Practice address
136 N MAIN ST STE 305, THIENSVILLE, WI 53092-1606
(847) 226-8358
(262) 292-1221
Mailing address
136 N MAIN ST STE 305, THIENSVILLE, WI 53092-1606
(847) 226-8358
(262) 292-1221

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
838
WI
261QP2000X
Physical Therapy Clinic/Center
Primary
13342
WI

Other

Enumeration date
07/12/2016
Last updated
07/12/2016
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