Provider First Line Business Practice Location Address:
17045 W. CAPITOL DRIVE
Provider Second Line Business Practice Location Address:
KEYSTONE PHYSICAL THERAPY, LLC
Provider Business Practice Location Address City Name:
BROOKFIELD
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53005-2173
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-790-5775
Provider Business Practice Location Address Fax Number:
262-790-5710
Provider Enumeration Date:
04/19/2006