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Organization
ORTHOPEDIC & SPINE THERAPY OF GREEN BAY SC
Active
Organization
ORTHOPEDIC & SPINE THERAPY OF GREEN BAY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL S BARNETT PT (OWNER)
(920) 257-2000
Entity
Organization
Contact information
Practice address
3108 MID VALLEY DR, DE PERE, WI 54115-9436
(920) 968-0814
(920) 734-6159
Mailing address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(920) 257-2000
(920) 257-2004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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