Organization
PT AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE GERKE P.T. (OWNER)
(414) 469-8728
Entity
Organization
Contact information
Practice address
5584 S 115TH ST, HALES CORNERS, WI 53130-1812
(414) 469-8728
Mailing address
5584 S 115TH ST, HALES CORNERS, WI 53130-1812
(414) 469-8728
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2021
Last updated
09/11/2021
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