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Organization
SPORT & SPINE CLINIC LP
Active
Organization
SPORT & SPINE CLINIC LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BINSTEIN (VP, AUTHORIZED OFFICIAL)
(713) 297-7000
Entity
Organization
Contact information
Practice address
10524 GEORGE AVE, SUITE 2, AUBURNDALE, WI 54412-9677
(715) 652-3470
(715) 652-3473
Mailing address
327 N 17TH AVE STE 7, WAUSAU, WI 54401-4283
(715) 845-2942
(715) 842-3416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/11/2006
Last updated
01/17/2022
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