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
Update your record
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