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Organization
ORTHOPEDIC & SPINE THERAPY OF MENASHA
Active
Organization
ORTHOPEDIC & SPINE THERAPY OF MENASHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY BARNETT (ADMINISTRATOR)
(920) 257-2005
Entity
Organization
Contact information
Practice address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(920) 257-2000
Mailing address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(920) 257-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13033-24
WI
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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