Organization
PATTI MAHLANDTBUTTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTI L MAHLANDT BUTTS 69019 (PHYSICAL THERAPIST ASSISTANT)
(262) 653-3814
Entity
Organization
Contact information
Practice address
3506 WASHINGTON RD, KENOSHA, WI 53144-1654
(262) 653-3814
Mailing address
3506 WASHINGTON RD, KENOSHA, WI 53144-1654
(262) 653-3814
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
69019
WI
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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