Organization Name: | DIAGNOSTIC & TREATMENT CENTER, LLC |
NPI Number: | 1023031366 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | COLLEEN CHISNELL (SENIOR DIRECTOR OF FINANCE) |
Mailing Address: | 3401 Cranberry Blvd Weston |
State: | WI US |
Postal Code: | 54476 |
Phone Number: | 7153932489 |
Fax Number: | 7152419475 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 05/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |