Individual
STEVEN PHAKLIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5700 W LAYTON AVE, GREENFIELD, WI 53220-4016
(414) 325-4069
(414) 282-7512
Mailing address
5700 W LAYTON AVE, GREENFIELD, WI 53220-4016
(414) 325-4069
(414) 282-7512
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1647-019
WI
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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