Organization
EXCEL PT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT RUNGE PT (OWNER)
(920) 233-8739
Entity
Organization
Contact information
Practice address
420 N KOELLER ST, OSHKOSH, WI 54902-4111
(920) 233-8739
(920) 233-8732
Mailing address
420 N KOELLER ST, OSHKOSH, WI 54902-4111
(920) 233-8739
(920) 233-8732
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4415024
WI
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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