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NPI Code Detail

MEDICARE: STEPHANIE ANN BUDENZ PT

MEDICARE: STEPHANIE ANN BUDENZ PT
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
1225100000XPhysical Therapist10048-024WI

General Provider Information

NPI Number : 1841238292
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ANN BUDENZ PT
Provider Business Mailing Address
First Line : 3003 W GOOD HOPE RD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53209-2042
Country : US
Telephone Number : 414-352-3100
Fax Number :
Provider Business Practice Location Address
First Line : N84W16889 MENOMONEE AVE
Second Line :
City : MENOMONEE FALLS
State : WI
Zip : 53051-2810
Country : US
Telephone Number : 262-251-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 12/08/2021

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Directions to “ STEPHANIE ANN BUDENZ PT” Practice Location

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