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Organization
MOTUS RX PHYSICAL THERAPY, LLC
Active
Organization
MOTUS RX PHYSICAL THERAPY, LLC
Active
Other names
Eric Wallace
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC T WALLACE DPT (OWNER/PHYSICAL THERAPIST)
(920) 540-2344
Entity
Organization
Contact information
Practice address
W5361 COUNTY ROAD KK STE E, APPLETON, WI 54915-7271
(920) 540-2344
(920) 779-1460
Mailing address
W5361 COUNTY ROAD KK STE E, APPLETON, WI 54915-7271
(920) 540-2344
(920) 779-1460
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
11251-24
WI
225100000X
Physical Therapist
Primary
11251-24
WI
2251S0007X
Sports Physical Therapist
11251-24
WI
2251X0800X
Orthopedic Physical Therapist
11251-24
WI
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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