SAMUEL PARK

MILWAUKEE, WI
NPI1154853836
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  12430)
Enumeration Date2017-03-31
Last Update Date2017-03-31
Business Address
-- SAMUEL PARK DPT
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number: 414-384-2000
Mailing Address
-- SAMUEL PARK DPT
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number: