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1942994256
JACK HEINRICH
WAUWATOSA, WI
NPI
1942994256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 16297-24)
Enumeration Date
2023-06-08
Last Update Date
2023-06-08
Business Address
JACK HEINRICH PT, DPT, CSCS
10930 W POTTER RD STE C
WAUWATOSA, WI 53226-3450
Phone number: 414-400-6556
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Mailing Address
JACK HEINRICH PT, DPT, CSCS
10930 W POTTER RD STE C
WAUWATOSA, WI 53226-3450
Phone number: 414-400-6556
Copy
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