Individual
TORIN FENDOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2700 W HONADEL BLVD, OAK CREEK, WI 53154-2650
(414) 435-2005
Mailing address
2918 N DOUSMAN ST, MILWAUKEE, WI 53212-2624
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3037-19
WI
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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