Organization
LIVING WELL PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE LYNN PATEK DPT (OWNER/PROVIDER)
(414) 312-3180
Entity
Organization
Contact information
Practice address
159 E SILVER SPRING DR, WHITEFISH BAY, WI 53217-4703
(262) 770-5025
Mailing address
4634 N SHEFFIELD AVE, WHITEFISH BAY, WI 53211-1106
(414) 312-3180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
05/04/2022
Last updated
07/05/2024
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