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Organization

SYMMETRY PAIN & WELLNESS CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SOCRATES RIVERS (PRESIDENT)
(414) 856-1970
Entity
Organization

Contact information

Practice address
200 E RYAN RD, SUITE 103, OAK CREEK, WI 53154-4533
(414) 856-1970
(414) 856-1974
Mailing address
200 E RYAN RD, SUITE 103, OAK CREEK, WI 53154-4533
(414) 856-1970
(414) 856-1974

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0708835
UNITED HEALTHCARE
WI
01
169347163655
HUMANA
WI
01
56823050
FIRST HEALTH
WI
Enumeration date
07/11/2006
Last updated
04/20/2008
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