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Organization
ORTHOPEDIC & SPINE THERAPY OF CLINTONVILLE, SC
Active
Organization
ORTHOPEDIC & SPINE THERAPY OF CLINTONVILLE, 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
114 E GREEN TREE RD, CLINTONVILLE, WI 54929-1182
(715) 823-3336
(715) 823-3936
Mailing address
1000 MIDWAY RD, MENASHA, WI 54952-1014
(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
05
—
40419800
—
WI
05
—
41746300
—
WI
01
—
611271800
US DEPARTMENT OF LABOR
WI
01
—
CH3959
RAILROAD MEDICARE
WI
Enumeration date
08/19/2006
Last updated
06/21/2018
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