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General NPI Number Information
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NPI Number | 1629411202
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY OF MILWAUKEE, LLC
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Dates
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Enumeration Date | 04/12/2013
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 3906 S 27TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53221-1826
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Country | US
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Telephone | 414-702-4678
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Fax | 414-423-4134
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Provider Business Mailing Address
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Address Line | 3906 S 27TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53221-1826
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Country | US
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Telephone | 414-281-3444
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Fax | 414-281-3435
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Authorized Official
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Title or Position | OWNER
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Name | SYLVESTRA RAMIREZ
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Credential | PT, DPT, MWH, CEAS
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Telephone | 414-702-4678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251E1200X
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Taxonomy Name | Ergonomics Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | WI
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