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Organization
ORTHOPEDIC & SPINE THERAPY OF WAUPACA SC
Active
Organization
ORTHOPEDIC & SPINE THERAPY OF WAUPACA SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEVEN BARNETT PT (OWNER AND PRESIDENT)
(920) 257-2000
Entity
Organization
Contact information
Practice address
E3277 APPLE TREE LANE, WAUPACA, WI 54981
(715) 256-0358
(715) 256-0393
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
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128853
HEALTH PARTNERS
WI
05
—
40426000
—
WI
01
—
4136293001
AMERICHOICE
WI
05
—
41754700
—
WI
01
—
610109700
US DEPARTMENT OF LABOR
WI
Enumeration date
06/29/2006
Last updated
08/17/2018
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