| Doctor Name: | DR. MUDDASSIR MOHIUDDIN |
| NPI Number: | 1588095277 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT |
| License Number: | 12573-24 |
| Business Practice Address: | 1700 C A Becker Dr Racine, WI - 534064714 |
| Business Phone Number: | 2628982804 |
| Business Fax Number: | 2626191618 |
| Mailing Address: | 2840 S Linebarger Ter, MILWAUKEE |
| State: | WI |
| Postal Code: | 532072541 |
| Phone Number: | 4142100088 |
| Fax Number: | 4145091630 |
| NPI Enumeration Date: | 12/05/2013 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 12573-24 |
| 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 |