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Individual

MR. SANTANA ROHAN DEACON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
1626 W FOND DU LAC AVE, MILWAUKEE, WI 53205-1228
(414) 517-6585
Mailing address
1626 W FOND DU LAC AVE, MILWAUKEE, WI 53205-1228
(414) 436-5155

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
10088-024
WI

Other

Enumeration date
03/03/2008
Last updated
07/28/2020
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