Organization
EAGLE P-T
Active
Other names
Eagle Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS SOBUSH PT (OWNER)
(414) 546-2667
Entity
Organization
Contact information
Practice address
3920 S 120TH ST, GREENFIELD, WI 53228-1882
(414) 546-2667
Mailing address
3920 S 120TH ST, GREENFIELD, WI 53228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1436024
WI
Other
Enumeration date
05/17/2007
Last updated
06/20/2008
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