Search › Wisconsin › 225200000X
Joseph Lidester, P.T.A
NPI 1457803850 · on the registry since 2016
Practice
- Address
- 9047 W Greenfield Ave
Milwaukee, WI 53214 - Phone
- (414) 453-9290
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin