Organization
DYNAMIC PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES REITZ R.P.T. (OWNER/PHYSICAL THERAPIST)
(414) 529-4605
Entity
Organization
Contact information
Practice address
10731 W FOREST HOME AVE, HALES CORNERS, WI 53130-2555
(414) 529-4605
Mailing address
10731 W FOREST HOME AVE, HALES CORNERS, WI 53130-2555
(414) 529-4605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3307-024
WI
Other
Enumeration date
11/01/2006
Last updated
10/01/2007
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