Organization
RORTVEDT PT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADDISON C RORTVEDT (OWNER)
(608) 977-5489
Entity
Organization
Contact information
Practice address
1707 W BROADWAY, MONONA, WI 53713-1834
(608) 977-5489
Mailing address
1707 W BROADWAY, MONONA, WI 53713-1834
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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