THEODORE AZAR

KENOSHA, WI
NPI1083303788
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  16267-24)
Enumeration Date2023-05-08
Last Update Date2023-05-08
Business Address
THEODORE AZAR
3535 30TH AVE STE 101
KENOSHA, WI 53144-1632
Phone number: 262-657-7071
Mailing Address
THEODORE AZAR
3535 30TH AVE STE 101
KENOSHA, WI 53144-1632
Phone number: 262-657-7071