Organization
EXCEL PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM SUE GONIA (OFFICE MANAGER)
(920) 233-8739
Entity
Organization
Contact information
Practice address
480 N KOELLER ST, OSHKOSH, WI 54902-4111
(920) 233-8739
(920) 233-8732
Mailing address
480 N KOELLER ST, OSHKOSH, WI 54902-4111
(920) 233-8739
(920) 233-8732
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40420300
—
WI
Enumeration date
01/15/2009
Last updated
04/25/2013
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