BODY RENOVATION HEALTH SERVICES, S.C.

GRAFTON, WI
NPI1023210812
Entity TypeOrganization
Authorized ContactRICHARD WAGNER
President
262-375-1075
Organization Subpart ?No
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
Enumeration Date2007-06-04
Last Update Date2020-08-22
Business Address
BODY RENOVATION HEALTH SERVICES, S.C.
2020 CHEYENNE CT
GRAFTON, WI 53024
Phone number: 262-375-1075
Mailing Address
BODY RENOVATION HEALTH SERVICES, S.C.
4810 UPPER FOREST BEACH RD
PORT WASHINGTON, WI 53074-9715
Phone number: 262-375-1075
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