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1487909438
SAMUEL J TYRIVER
MILWAUKEE, WI
NPI
1487909438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 14498)
Enumeration Date
2012-07-16
Last Update Date
2020-10-19
Business Address
SAMUEL J TYRIVER PT
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226-4874
Phone number: 414-266-2858
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Mailing Address
SAMUEL J TYRIVER PT
9000 W WISCONSIN AVE # MS 958
MILWAUKEE, WI 53226-4874
Phone number: 414-266-7615
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