Individual
JOHN W BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1451 CLEVELAND AVE, WAUKESHA, WI 53186-3876
(262) 547-2123
(262) 547-6204
Mailing address
1451 CLEVELAND AVE, WAUKESHA, WI 53186-3876
(262) 547-2123
(262) 547-6204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4521-024
WI
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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