Organization
JANESVILLE PHYSICAL THERAPY AND REHAB SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY BRIAND PT (MANAGING MEMBER)
(877) 552-2996
Entity
Organization
Contact information
Practice address
4323 MILTON AVE, SUITE 201, JANESVILLE, WI 53546-9802
(608) 757-1840
(608) 757-1881
Mailing address
PO BOX 3497, STURTEVANT, WI 53177-0300
(877) 552-2996
(866) 245-8064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5817024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40426900
—
WI
01
—
DP2569
RAILROAD MEDICARE
WI
Enumeration date
08/15/2006
Last updated
10/27/2009
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