NATHANAEL P SORUM

WAUKESHA, WI
NPI1871881094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  11704-24)
Enumeration Date2011-07-21
Last Update Date2022-05-19
Business Address
Mr. NATHANAEL P SORUM PT
20700 WATERTOWN RD STE 100
WAUKESHA, WI 53186-1800
Phone number: 414-540-8821
Mailing Address
Mr. NATHANAEL P SORUM PT
5055 S 84TH ST
GREENDALE, WI 53129-1006
Phone number: 414-429-3030