# ADVANCE THERAPY CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003035767
- **Authorized official:** KARLA J KING (OFFICE MANAGER)
- **Authorized official phone:** (920) 233-7177

## Contact information

- **Practice address:** 3475 OMRO RD, STE. 300, OSHKOSH, WI 54904-7125
- **Practice address phone:** (920) 233-7177
- **Mailing address:** 3475 OMRO RD, STE. 300, OSHKOSH, WI 54904-7125
- **Mailing address phone:** (920) 233-7177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 3756-024 | WI | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 41219900 | — | WI |