Organization
PHYSICALLY CORRECT PHYSICAL THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP WILLIAM BERGOLD PT (OWNER)
(414) 940-7278
Entity
Organization
Contact information
Practice address
5889 RIVERSIDE DR, GREENDALE, WI 53129-2817
(414) 940-7278
(414) 235-4884
Mailing address
PO BOX 370081, MILWAUKEE, WI 53237-1181
(414) 940-7278
(414) 235-4884
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
5058-024
WI
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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