Organization
CALEDONIA PHYSICAL THERAPY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY LEE ULRICH PT (PRESIDENT)
(262) 939-4120
Entity
Organization
Contact information
Practice address
5401 DOUGLAS AVE, RACINE, WI 53402-2034
(262) 681-8829
(262) 681-8830
Mailing address
2470 CATHERINE DR, RACINE, WI 53402-1604
(262) 939-4120
(262) 681-8830
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5733-024
WI
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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