Male or Other

Mr. Daniel P. Blecha PTA

Physical Therapy Assistant in South Milwaukee, WI(View on Map)

Full Name

Mr. Daniel P Blecha PTA

NPI Number

1093923153

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/20/2007

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

1145-019

Contact
Information

Purpose

Mailing
Location

Address

5049 W COLLEGE AVE APT 63
3601 S CHICAGO AVE

City

Greendale
South Milwaukee

State

WI
WI

Postal Code

53129-2952
53172-3708

Country

US
US

Telephone Number

(414) 687-0030
(414) 764-4100

Identifiers

Identifier

40400400

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2007

Provider Address

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