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Organization
RICE LAKE PHYSICAL THERAPY AND REHAB SPECIALISTS
Active
Organization
RICE LAKE PHYSICAL THERAPY AND REHAB SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D BRIAND MS, PT, ATC (CO-OWNER)
(877) 552-2996
Entity
Organization
Contact information
Practice address
1507 W KNAPP ST, RICE LAKE, WI 54868-1383
(877) 823-0508
(715) 236-3615
Mailing address
PO BOX 3497, STURTEVANT, WI 53177-0300
(877) 552-2996
(866) 245-8064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40423400
—
WI
Enumeration date
06/27/2006
Last updated
12/08/2009
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