Organization
BEHAVIORAL PHYISICAL THERAPY, WELLNESS & HOME CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN LAWRENCE WALKER (PRESIDENT)
(414) 352-1826
Entity
Organization
Contact information
Practice address
201 W COVENTRY CT, SUITE 316, GLENDALE, WI 53217-3954
(414) 352-1826
(414) 352-1929
Mailing address
1785 E SAHARA AVE, SUITE 490, LAS VEGAS, NV 89104-3733
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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