Organization
PIKE CREEK ENTERPRISES, LLC
Active
Other names
Connolly Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JOHN CONNOLLY PT, OCS, FAAOMPT (OWNER AND PRESIDENT)
(262) 945-0024
Entity
Organization
Contact information
Practice address
598 MILWAUKEE AVE, BURLINGTON, WI 53105-1251
(262) 763-7591
Mailing address
598 MILWAUKEE AVE, BURLINGTON, WI 53105-1251
(262) 763-7591
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5392024
WI
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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