Organization
AMPT ADVANCED MANUAL PHYSICAL THERAPY SPECIALTY PT CLINICS, INC.
Active
Other names
HEAL Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT KABBAZ MMPT, FAAOMPT, COMT (PRESIDENT, PHYSICAL THERAPIST)
(608) 441-0032
Entity
Organization
Contact information
Practice address
2000 ENGEL ST STE 102, MONONA, WI 53713-4822
(608) 441-0032
(608) 441-0034
Mailing address
5900 MONONA DR STE 200, MONONA, WI 53716-3561
(608) 441-0032
(608) 441-0034
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
05004602A
IN
261QP2000X
Physical Therapy Clinic/Center
070-014463
IL
261QP2000X
Physical Therapy Clinic/Center
Primary
5161-024
WI
Other
Enumeration date
04/02/2007
Last updated
10/31/2017
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