Fruition Therapy, Ltd

NPI 1861495145 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1861495145
Enumeration Date 05/31/2005
Last Updated 10/31/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CAROLYN A CAROLYN
Position PT/PRESIDENT
Phone (262) 723-2711
Fax
Practice Location
N8123 ROSE TER
ELKHORN WI, 53121-2474, US
Phone (262) 723-2711
Fax
Business Location
N8123 ROSE TER
ELKHORN WI, 53121-2474, US
Phone (262) 723-2711
Fax
Toxanomy
Taxonomy Code 208100000X
License State Wisconsin
License Number 9598-024
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According to our database, Fruition Therapy, Ltd NPI is 1861495145, taxonomy code is 208100000X and license number is 9598-024, license state is located at Wisconsin. Fruition Therapy, Ltd physically located at N8123 Rose Ter, Elkhorn WI, 53121-2474. NPI Number 1033115704 has the healthcare provider type.

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1861495145 NPI number is provided on an as is basis without warranty of any kind. 1861495145 is maintained by the National Plan & Provider Enumeration System. The contents of Fruition Therapy, Ltd are for informational purposes only.