Individual
JOHN A. LEVENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2835 N GRANDVIEW BLVD STE 100, PEWAUKEE, WI 53072-5546
(262) 574-1100
(262) 574-5193
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2720-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253078
—
WI
Enumeration date
03/29/2007
Last updated
10/19/2023
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