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Organization
ORTHOPEDIC & SPINE THERAPY OF BRILLION, SC
Active
Organization
ORTHOPEDIC & SPINE THERAPY OF BRILLION, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEVEN BARNETT PT (OWNER-PRESIDENT)
(920) 257-2000
Entity
Organization
Contact information
Practice address
205 MARITIME DR, MANITOWOC, WI 54220-6826
(920) 482-1516
(920) 482-1581
Mailing address
4000 N. PROVIDENCE AVENUE, APPLETON, WI 54913-8018
(920) 257-2000
(920) 257-2004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128870
HEALTH PARTNERS
WI
01
—
2133139002
AMERICHOICE
WI
05
—
40427800
—
WI
05
—
41756800
—
WI
01
—
5833250001
MEDICARE DME
WI
Enumeration date
06/01/2006
Last updated
06/21/2018
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