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Organization

BACK IN ACTION S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT I CARPENTER D.C. (PRESIDENT/OWNER)
(414) 529-4600
Entity
Organization

Contact information

Practice address
10731 W FOREST HOME AVE, HALES CORNERS, WI 53130-2555
(414) 529-4600
(414) 529-4689
Mailing address
10731 W FOREST HOME AVE, HALES CORNERS, WI 53130-2555
(414) 529-4600
(414) 529-4689

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1413-012
WI

Other

Enumeration date
06/09/2006
Last updated
08/22/2020
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