FIVE CORNERS PHYSICAL THERAPY S.C.
Speech Language Pathology at State Road 60, Cedarburg, WI

License number
Wisconsin 4146-024
Category
Restorative Service Providers
Type
Physical Therapist
License number
Wisconsin 1504-154
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Owner
Name: MR. TIMOTHY JOHN PROVENCHER PT
Title: PRESIDENT
Phone: (262) 377-8350
Address
Address
7269 State Road 60 SUITE 1, Cedarburg, WI 53012
National Provider ID: 1427195304
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Speech Language Pathology licenses in Wisconsin










Other Doctors licenses in Wisconsin