MEDICARE: WAUKESHA PHYSICAL THERAPY CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1073599783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAUKESHA PHYSICAL THERAPY CLINIC

Provider Business Mailing Address
First Line	:	600 HARTBROOK DR STE 111
Second Line	:
City	:	HARTLAND
State	:	WI
Zip	:	53029-1436
Country	:	US
Telephone Number	:	262-367-3110
Fax Number	:	262-367-3112

Provider Business Practice Location Address
First Line	:	600 HARTBROOK DR STE 111
Second Line	:
City	:	HARTLAND
State	:	WI
Zip	:	53029-1436
Country	:	US
Telephone Number	:	262-367-3110
Fax Number	:	262-367-3112

Authorized Official
Title or Position	:	OWNER
Name	:	GABRIELE H LANGAN
Credential	:	PT
Telephone Number	:	262-367-3110

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	03/23/2022

Similar Medicare Providers

1548458524 — GABRIELE H LANGAN PT
Practice Location Address:

600 HARTBROOK DR STE 111
HARTLAND, WI
53029-1436

Practice Phone: 262-367-3110
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1639685779 — EDP OF WISCONSIN, SC
Practice Location Address:

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1376057224 — AMY CURRY M.S., CCC-SLP
Practice Location Address:

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1134102932 — VILLAGE OF HARTLAND
Practice Location Address:

150 LAWN ST
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1184603755 — FAWAD KHAN MD
Practice Location Address:

600 WALNUT RIDGE DR
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Practice Fax:

1912979451 — JOHN C LESNIAK M.D.
Practice Location Address:

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