Organization
ORTHOPEDIC & SPINE THERAPY OF NEW LONDON, SC
Active
Organization
ORTHOPEDIC & SPINE THERAPY OF NEW LONDON, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEVEN BARNETT PT (OWNER/PRESIDENT)
(920) 257-2000
Entity
Organization
Contact information
Practice address
1620 N SHAWANO ST, NEW LONDON, WI 54961-9368
(920) 982-3670
(920) 982-4273
Mailing address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(920) 257-2000
(920) 257-2004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41745700
—
WI
Enumeration date
10/05/2006
Last updated
11/05/2008
Update your record
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