Organization
FRUITION THERAPY, LTD
Active
Organization
FRUITION THERAPY, LTD
Active
Other names
Healing Hands Physical Therapy and Massage, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN A GUALDRON PT (PT/PRESIDENT)
(262) 725-1664
Entity
Organization
Contact information
Practice address
N8123 ROSE TER, ELKHORN, WI 53121-2474
(262) 723-2711
Mailing address
N8123 ROSE TER, ELKHORN, WI 53121-2474
(262) 723-2711
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9598-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40423500
—
WI
Enumeration date
05/31/2005
Last updated
10/31/2013
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