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Organization
SELECT PHYSICAL THERAPY OF GREEN BAY LIMITED PARTNERSHIP
Active
Organization
SELECT PHYSICAL THERAPY OF GREEN BAY LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 975-4503
Entity
Organization
Contact information
Practice address
3311 CALUMET AVE, MANITOWOC, WI 54220-5425
(920) 683-9710
Mailing address
3311 CALUMET AVE, MANITOWOC, WI 54220-5425
(920) 683-9710
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2006
Last updated
03/11/2008
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