| Organization Name: | FREEDOM PHYSICAL THERAPY SERVICES SC |
| NPI Number: | 1063406544 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER J STATHAS (PRESIDENT) |
| Mailing Address: | 6908 N Santa Monica Blvd Fox Point |
| State: | WI US |
| Postal Code: | 532173942 |
| Phone Number: | 4143522082 |
| Fax Number: | 4143525279 |
| NPI Enumeration Date: | 09/09/2005 |
| NPI Last Update Date: | 10/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |