Deacon, Adella S

Deacon, Adella S is an individual health care provider with primary practice located at 1626 W Fond Du Lac Ave # Wi , Milwaukee WI 53205-1228. 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. Deacon, Adella S can be contacted via phone (414) 737-0374.

Contact Information

Primary practice address
1626 W Fond Du Lac Ave # Wi Milwaukee WI 53205-1228
Phone: (414) 737-0374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070014653 Illinois

Profile Details

NPI number 1649371303
LBN Legal business name Deacon, Adella S
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated May 8th, 2020 - about 6 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

Popular Providers