Individual
MARK J NEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5024 GREEN BAY RD, KENOSHA, WI 53144-1702
(262) 925-0200
(262) 925-8846
Mailing address
PO BOX 081433, RACINE, WI 53408-1433
(262) 321-0240
(262) 321-0242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4727-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40290600
—
WI
Enumeration date
07/24/2006
Last updated
07/09/2021
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