Advantage Pt & Sports Rehab LLC
Clinic/Center, Rehabilitation in Milwaukee, WI. Organization (NPI-2).
NPI number1922769983
StatusActive
Last updated in NPPESFeb 27, 2024
Details
- NPI
- 1922769983
- Entity type
- Organization (NPI-2)
- Legal business name
- Advantage Pt & Sports Rehab LLC
- Organization subpart
- No
- Enumeration date
- Jan 3, 2022
- Certification date
- Feb 27, 2024
- Last updated
- Feb 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Other names
- Cora Physical Therapy - Mlk (Doing Business As)
Practice location
2578 N Martin Luther King DrMilwaukee, WI 53212-2710
Phone 414-529-7375
Mailing address
Po Box 150Lima, OH 45802-0150
Phone 419-221-6717 · Fax 419-222-0507
Authorized official
Steve Krzyminski
Exec Vp
4192216717
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