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Organization
ORTHOPEDIC & SPINE THERAPY OF STURGEON BAY, SC
Active
Organization
ORTHOPEDIC & SPINE THERAPY OF STURGEON BAY, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEVEN BARNETT P.T. (OWNER/PRESIDENT)
(920) 257-2000
Entity
Organization
Contact information
Practice address
228 N 14TH AVE, STURGEON BAY, WI 54235-1318
(920) 746-3180
(920) 746-3182
Mailing address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(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
01
—
000017151
PTAN
WI
05
—
36191300
—
WI
01
—
613446600
US DEPT OF LABOR
WI
Enumeration date
06/26/2008
Last updated
10/10/2008
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