Organization
PREMIER PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT E STAMN PT (OWNER)
(262) 650-0348
Entity
Organization
Contact information
Practice address
4125 N 124TH ST, STE A, BROOKFIELD, WI 53005-1837
(262) 650-0348
(262) 650-0392
Mailing address
2260 WREN LN, WAUKESHA, WI 53189-7740
(262) 650-0348
(262) 650-0392
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
4259024
WI
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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