Organization
ADVANCED BACK AND NECK CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN JEAN MORTON PT (OWNER, PHYSICAL THERAPIST)
(715) 848-3226
Entity
Organization
Contact information
Practice address
315 6TH ST, WAUSAU, WI 54403-5424
(715) 848-3226
Mailing address
315 6TH ST, WAUSAU, WI 54403-5424
(715) 848-3226
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
11/02/2007
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