Organization
MJ CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA LOUISE DONOVAN P.T.A. (PHYSICAL THERAPIST ASSISTANT)
(608) 343-5663
Entity
Organization
Contact information
Practice address
1505 BUTTS AVE, TOMAH, WI 54660-2405
(608) 372-3241
(608) 372-3250
Mailing address
2448 S 102ND ST, SUITE 340, MILWAUKEE, WI 53227-2466
(180) 077-6701
(180) 035-0424
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1907-19
WI
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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