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Organization

LEGACY PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE M WOWZYNSKI MPT (PHYSICAL THERAPIST)
(414) 940-2978
Entity
Organization

Contact information

Practice address
1420 CAROLINE DR, NEW LONDON, WI 54961-7317
(414) 940-2978
Mailing address
1420 CAROLINE DR, NEW LONDON, WI 54961-7317
(414) 940-2978

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
WI

Other

Enumeration date
07/30/2010
Last updated
07/30/2010
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