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Organization
ORTHOPEDIC & SPINE THERAPY OF POPLAR SC
Active
Organization
ORTHOPEDIC & SPINE THERAPY OF POPLAR SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M BARNETT (ADMINISTRATOR)
(920) 257-5005
Entity
Organization
Contact information
Practice address
33 N 1ST ST, BAYFIELD, WI 54814
(715) 913-0400
Mailing address
1000 MIDWAY RD, MENASHA, WI 54952-1116
(920) 257-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
06/14/2016
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