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Organization
PHYSICAL THERAPY CENTER SC
Active
Organization
PHYSICAL THERAPY CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER K BRANES PT (OWNER PHYSICAL THERAPIST)
(715) 483-9221
Entity
Organization
Contact information
Practice address
111 THOMPSON PKWY, SAINT CROIX FALLS, WI 54024-0851
(715) 483-9221
(715) 483-1743
Mailing address
PO BOX 851, SAINT CROIX FALLS, WI 54024-0851
(715) 483-9221
(715) 483-1743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2172024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40423600
—
WI
Enumeration date
06/10/2005
Last updated
08/07/2013
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