Organization
WISCONSIN CHRONIC PAIN PHYSICAL THERAPY, INC
Active
Organization
WISCONSIN CHRONIC PAIN PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI ANN RICHBURG (PRESIDENT & CEO)
(414) 800-5359
Entity
Organization
Contact information
Practice address
2500 N MAYFAIR RD STE 300, WAUWATOSA, WI 53226-1415
(414) 800-5359
(414) 800-6308
Mailing address
2500 N MAYFAIR RD STE 300, WAUWATOSA, WI 53226-1415
(414) 800-5359
(414) 800-6308
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
10/12/2022
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