Most Relevant Information
Provider Data
| NPI Number: | 1003270521 |
| Provider Name: | PRIYANKA TRIVEDI |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 040049 |
Most Important Dates
| Enumeration Date: | 04/11/2016 |
| Last Updated: | 04/11/2016 |
Provider Practice Location
4400 S 27TH ST
#230
MILWAUKEE
WI
532212102
Practice Location Phone/Fax
| Phone: | 3092528848 |
| Fax: |
Provider Mailing Location
4400 S 27TH ST
#230
MILWAUKEE
WI
532212102
Provider Mailing Phone/Fax
| Phone: | 3092528848 |
| Fax: |