Organization
RESILIENCE PT & PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN HOLEWINSKI (PHYSICAL THERAPIST)
(920) 850-7622
Entity
Organization
Contact information
Practice address
730 LAKE PARK RD, MENASHA, WI 54952-8804
(920) 850-7622
Mailing address
541 BERGHUIS DR, COMBINED LOCKS, WI 54113-1600
(920) 850-7622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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