| Charlie Coenen, | |
|
6908 N Santa Monica Blvd, Fox Point, WI 53217-3942 | |
| (414) 352-2082 | |
| Not Available |
| Full Name | Charlie Coenen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 6908 N Santa Monica Blvd, Fox Point, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407696677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 16719-24 (Wisconsin) | Primary |
| Provider Name | Freedom Physical Therapy Services Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063406544 PECOS PAC ID: 8224938113 Enrollment ID: O20040108000955 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlie Coenen, 2950 Clearwater Ln Apt 204, Waukesha, WI 53189-6895 Ph: () - | Charlie Coenen, 6908 N Santa Monica Blvd, Fox Point, WI 53217-3942 Ph: (414) 352-2082 |
Peter Stathas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6908 N Santa Monica Blvd, Fox Point, WI 53217 Phone: 414-352-2082 Fax: 414-352-5279 | |
Abbey Walter, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8677 N Port Washington Rd, Fox Point, WI 53217 Phone: 414-351-8482 Fax: 414-351-8483 | |
Michael Ruppel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6908 N Santa Monica Blvd, Fox Point, WI 53217 Phone: 414-352-2082 | |
Freedom Physical Therapy Services Sc Physical Therapist Medicare: Medicare Enrolled Practice Location: 6908 N Santa Monica Blvd, Fox Point, WI 53217 Phone: 414-352-2082 Fax: 414-352-5279 | |
Kalin Vt Albrecht, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6908 N Santa Monica Blvd, Fox Point, WI 53217 Phone: 414-352-2082 Fax: 414-352-5279 | |
Erin E Bafunno, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6908 N Santa Monica Blvd, Fox Point, WI 53217 Phone: 414-352-2082 Fax: 414-352-5279 | |
Stephanie Smith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8677 N Port Washington Rd, Fox Point, WI 53217 Phone: 414-351-8482 Fax: 414-351-8483 |