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Organization
POUND PT CLINIC LLC
Active
Organization
POUND PT CLINIC LLC
Active
Other names
Peter Sytsma, PT
Organization subpart
No
Provider details
NPI number
Authorized official
PETER A SYTSMA PT (OWNER)
(920) 897-4799
Entity
Organization
Contact information
Practice address
3010 BUSINESS HIGHWAY 141, POUND, WI 54161
(920) 897-4799
(920) 897-4128
Mailing address
PO BOX 11, POUND, WI 54161
(920) 897-4799
(920) 897-4128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
864024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40133900
—
WI
Enumeration date
11/01/2006
Last updated
07/10/2013
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