Organization
STAY STRONG THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA MAGNAN OTR (OWNER/PRESIDENT)
(262) 367-3700
Entity
Organization
Contact information
Practice address
21140 W CAPITOL DR, SUITE 4, BROOKFIELD, WI 53072-2953
(262) 754-1650
(262) 754-0877
Mailing address
21140 W CAPITOL DR, SUITE 4, BROOKFIELD, WI 53072-2953
(262) 754-1650
(262) 754-0877
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
2435-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2435-26
OT LICENSE
—
Enumeration date
03/15/2011
Last updated
07/26/2011
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