Individual
ROSS GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10101 W WISCONSIN AVE, WAUWATOSA, WI 53226-4861
(414) 258-1814
Mailing address
1724 E RACINE AVE APT 208, WAUKESHA, WI 53186-0716
(608) 316-0443
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
WI
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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