Individual
MR. LARRY JOHN PLEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1333 COLLEGE AVE, SUITE B, SOUTH MILWAUKEE, WI 53172-1150
(414) 571-9146
(414) 571-9147
Mailing address
1333 COLLEGE AVE, SUITE B, SOUTH MILWAUKEE, WI 53172-1150
(414) 571-9146
(414) 571-9147
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5672
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4037500
—
WI
Enumeration date
08/23/2005
Last updated
03/12/2008
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