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Organization

NEW LIFE PHYSICAL THERAPY & SPORTS MEDICINE BARABOO, LLC

Active
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Organization

NEW LIFE PHYSICAL THERAPY & SPORTS MEDICINE BARABOO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRYAN CUMMINGS PT (OWNER)
(608) 356-2334
Entity
Organization

Contact information

Practice address
840 US HIGHWAY 12, SUITE 3, BARABOO, WI 53913-9277
(608) 356-2334
(608) 356-2636
Mailing address
840 US HIGHWAY 12, SUITE 3, BARABOO, WI 53913-9277
(608) 356-2334
(608) 356-2636

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
APPLIED FOR
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APPLIED FOR ALL
ALL APPLIED FOR
WI
Enumeration date
02/13/2008
Last updated
02/05/2015
About Stedi
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