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Organization
SPORT & SPINE CLINIC L.P.
Active
Organization
SPORT & SPINE CLINIC L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BINSTEIN (VP, AUTHORIZED OFFICIAL)
(713) 297-7000
Entity
Organization
Contact information
Practice address
213016 LEGION ST, STRATFORD, WI 54484
(715) 687-2214
(715) 687-4716
Mailing address
327 N 17TH AVE STE 7, WAUSAU, WI 54401-4283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/22/2013
Last updated
01/17/2022
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