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Capitol Physical Therapy LLC

Physical Therapist in Verona, WI. Organization (NPI-2).

NPI number1104846542
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1104846542
Entity type
Organization (NPI-2)
Legal business name
Capitol Physical Therapy LLC
Organization subpart
No
Enumeration date
Jul 20, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

411 Prairie Heights Drive
Suite 101
Verona, WI 53593

Phone 608-848-6628 · Fax 608-848-6629

Mailing address

411 Prairie Heights Drive
Suite 101
Verona, WI 53593

Phone 608-848-6628 · Fax 608-848-6629

Authorized official

Julie M Lombardo
President
6088486628

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