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Organization
ORTHOPEDIC & SPINE THERAPY OF
Active
Organization
ORTHOPEDIC & SPINE THERAPY OF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEVEN BARNETT PT (OWNER-PRESIDENT)
(920) 257-2000
Entity
Organization
Contact information
Practice address
544 FAIRWAY DR, BRILLION, WI 54110-1435
(920) 756-9340
(920) 756-2711
Mailing address
4000 N. PROVIDENCE AVENUE, APPLETON, WI 54913-8018
(920) 257-2000
(920) 257-2004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128870
HEALTH PARTNERS
WI
01
—
2133139001
AMERICHOICE
WI
01
—
369493005
US DEPARTMENT OF LABOR
WI
05
—
40419700
—
WI
05
—
41746100
—
WI
01
—
CH3608
RAILROAD MEDICARE
WI
Enumeration date
07/10/2006
Last updated
08/17/2018
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