Provider Demographics
NPI:1124227657
Name:FILON, TADEUSZ (PT)
Entity Type:Individual
Prefix:
First Name:TADEUSZ
Middle Name:
Last Name:FILON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N3027 WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:MARINETTE
Mailing Address - State:WI
Mailing Address - Zip Code:54143-9575
Mailing Address - Country:US
Mailing Address - Phone:715-732-9476
Mailing Address - Fax:
Practice Address - Street 1:N3027 WOODLAND RD
Practice Address - Street 2:
Practice Address - City:MARINETTE
Practice Address - State:WI
Practice Address - Zip Code:54143-9575
Practice Address - Country:US
Practice Address - Phone:715-732-9476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-14
Last Update Date:2007-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10423-024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist