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Organization

ADVANCED MOVEMENT STUDIO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANDREW M BRAUN LAT, CSCS, CES (FOUNDER/OWNER)
(920) 209-1662
Entity
Organization

Contact information

Practice address
101 W EDISON AVE, SUITE 110, APPLETON, WI 54915-1367
(920) 209-1662
Mailing address
101 W EDISON AVE, SUITE 110, APPLETON, WI 54915-1367
(920) 209-1662

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11251024
WI
225400000X
Rehabilitation Practitioner
114539
WI

Other

Enumeration date
05/19/2015
Last updated
07/17/2015
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