Organization
BADGER STATE THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN JOY ADRIANSEN (PT PARTNER)
(414) 332-1511
Entity
Organization
Contact information
Practice address
2611 NORTH LAKE DRIVE, MILWAUKEE, WI 53211
(414) 332-1511
Mailing address
2611 NORTH LAKE DRIVE, MILWAUKEE, WI 53211
(414) 332-1511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41202800
—
WI
Enumeration date
05/12/2008
Last updated
05/12/2008
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