Organization
VITA PHYSICAL THERAPY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERIT KRISTENSEN GEORGEOFF (DIRECTOR OF OPERATIONS)
(414) 272-8482
Entity
Organization
Contact information
Practice address
451 E ERIE ST, MILWAUKEE, WI 53202-6159
(414) 272-8482
(414) 272-2880
Mailing address
451 E ERIE ST, MILWAUKEE, WI 53202-6159
(414) 272-8482
(414) 272-2880
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40425000
—
WI
Enumeration date
05/24/2006
Last updated
11/04/2021
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