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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
503 S CHERRY AVE, SUITE 2, MARSHFIELD, WI 54449-4276
(715) 652-3470
Mailing address
327 N 17TH AVE STE 7, WAUSAU, WI 54401-4283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/21/2015
Last updated
01/17/2022
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