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Organization

M & M PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELISSA D MARTIN PT (OWNER)
(414) 571-9146
Entity
Organization

Contact information

Practice address
1333 COLLEGE AVE, SUITE B, SOUTH MILWAUKEE, WI 53172
(414) 571-9146
(414) 571-9147
Mailing address
1333 COLLEGE AVE, SUITE B, SOUTH MILWAUKEE, WI 53172
(414) 571-9146
(414) 571-9147

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5437
WI
225100000X
Physical Therapist
5672
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40355700
WI
Enumeration date
10/02/2006
Last updated
03/11/2008
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