Individual
ADAM BLAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2622 SOUTH 66TH STREET, MILWAUKEE, WI 53219
(920) 323-0393
Mailing address
2622 S 66TH ST, MILWAUKEE, WI 53219-2647
(920) 323-0393
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/09/2017
Last updated
07/21/2022
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