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Organization
MIDWEST PHYSICAL THERAPY, INC
Active
Organization
MIDWEST PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PRICE PT (PHYSICAL THERAPIST OWNER)
(715) 568-4669
Entity
Organization
Contact information
Practice address
1731 17TH AVE, BLOOMER, WI 54724-1512
(715) 568-4669
(715) 568-4673
Mailing address
1731 17TH AVE, BLOOMER, WI 54724-1512
(715) 568-4669
(715) 568-4673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41224700
—
WI
Enumeration date
03/26/2007
Last updated
12/16/2014
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