Organization
JOHN T. DEMBOWIAK, LPT, S.C.
Active
Organization
JOHN T. DEMBOWIAK, LPT, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T DEMBOWIAK LPT (OWNER/THERAPIST)
(262) 886-9887
Entity
Organization
Contact information
Practice address
5820 WASHINGTON AVE, RACINE, WI 53406-4020
(262) 886-9887
Mailing address
PO BOX 1664, RACINE, WI 53401-1664
(262) 886-9887
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1330-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40131200
—
WI
Enumeration date
12/11/2010
Last updated
12/11/2010
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