Organization
BALISTRERI & ASSOCIATES PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE BALISTRERI-RODEN (OWNER)
(262) 942-0163
Entity
Organization
Contact information
Practice address
1135 PRARIE DRIVE, RACINE, WI 53406
(262) 886-6780
(262) 886-6710
Mailing address
6926 39TH AVENUE, KENOSHA, WI 53142
(262) 942-0163
(262) 697-1576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/13/2006
Last updated
03/03/2008
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