Organization
PROGRESSIVE STEP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KAYE LOOMANS (PTA)
(920) 923-7054
Entity
Organization
Contact information
Practice address
115 E ARNDT ST, FOND DU LAC, WI 54935-2461
(920) 923-7054
Mailing address
115 E ARNDT ST, FOND DU LAC, WI 54935-2461
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
838-019
WI
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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