Organization
SOUTHERN LAKES PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM LOIS DPT (OWNER/PRESIDENT)
(414) 744-0707
Entity
Organization
Contact information
Practice address
2121 S KINNICKINNIC AVE, SUITE THREE, MILWAUKEE, WI 53207-1364
(414) 744-0707
Mailing address
2121 S KINNICKINNIC AVE STE 3, MILWAUKEE, WI 53207-1368
(414) 744-0707
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
10406024
WI
Other
Enumeration date
07/26/2007
Last updated
10/11/2019
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