Brovelli, Samantha

Brovelli, Samantha is an individual health care provider with primary practice located at 110 Lone Oak Ln Hartford Health Center, Hartford WI 53027-2600. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Brovelli, Samantha can be contacted via phone (262) 670-1800.

Contact Information

Primary practice address
110 Lone Oak Ln Hartford Health Center Hartford WI 53027-2600
Phone: (262) 670-1800
Fax: (262) 836-1601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12864 Wisconsin

Profile Details

NPI number 1881090579
LBN Legal business name Brovelli, Samantha
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2014
Last updated Mar 8th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881090579 NPPES
Wisconsin MEDICAID 1881090579

Popular Providers