Organization
GEROMOVE LLC
Active
Organization
GEROMOVE LLC
Active
Other names
Geromove Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NINA GEROMEL PT, DPT, ATC (OWNER)
(414) 856-7044
Entity
Organization
Contact information
Practice address
763 N BROADWAY, MILWAUKEE, WI 53202
(608) 333-3848
Mailing address
1108 N MILWAUKEE ST UNIT 211, MILWAUKEE, WI 53202-3153
(608) 695-1020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13653-24
WI
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
06/07/2018
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