Ljn Therapy, Sc

NPI 1073718771 - Physical Therapist - 225100000X

NPI Details
NPI 1073718771
Enumeration Date 06/20/2007
Last Updated 07/13/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LARRY JOHN LARRY
Position PRESIDENT
Phone (414) 288-1757
Fax
Practice Location
1404 W WISCONSIN AVE
MILWAUKEE WI, 53233-2238, US
Phone (414) 288-1757
Fax
Business Location
2345 N 114TH ST
WAUWATOSA WI, 53226-1225, US
Phone (414) 453-0135
Fax
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 1246
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According to our database, Ljn Therapy, Sc NPI is 1073718771, taxonomy code is 225100000X and license number is 1246, license state is located at Wisconsin. Ljn Therapy, Sc physically located at 1404 W Wisconsin Ave, Milwaukee WI, 53233-2238. NPI Number 1033115704 has the healthcare provider type.

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1073718771 NPI number is provided on an as is basis without warranty of any kind. 1073718771 is maintained by the National Plan & Provider Enumeration System. The contents of Ljn Therapy, Sc are for informational purposes only.