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1467035758
NATHANIEL FOSS
KENOSHA, WI
NPI
1467035758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 15351-24)
Enumeration Date
2021-05-04
Last Update Date
2021-05-04
Business Address
NATHANIEL FOSS DPT
7224 118TH AVE STE E
KENOSHA, WI 53142-8424
Phone number: 262-857-4400
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Mailing Address
NATHANIEL FOSS DPT
4971 N IDLEWILD AVE
WHITEFISH BAY, WI 53217-5969
Phone number: 414-364-1658
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