Individual
CHARLIE RAVANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1506 S. ONEIDA STREET, APPLETON, WI 54915
(920) 738-2000
Mailing address
12211 N WILLOW GLENN CT, MEQUON, WI 53092-3331
(262) 395-0085
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17759-24
WI
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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