Organization
ANATOMY SHOP PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN ZACHOW PT (OWNER)
(262) 363-3268
Entity
Organization
Contact information
Practice address
111 ATKINSON ST UNIT 2, MUKWONAGO, WI 53149-1439
(262) 363-3268
(262) 363-3269
Mailing address
111 ATKINSON ST UNIT 2, MUKWONAGO, WI 53149-1439
(262) 363-3268
(262) 363-3269
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40425200
—
WI
Enumeration date
10/12/2006
Last updated
06/21/2013
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