Organization
SPECTRUM PHYSICAL THERAPY LLC
Active
Organization
SPECTRUM PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI LISA LUNDMARK PT (OWNER)
(715) 362-8825
Entity
Organization
Contact information
Practice address
315 S ONEIDA AVE, SUITE 102, RHINELANDER, WI 54501-3422
(715) 362-8825
(715) 362-8830
Mailing address
315 S ONEIDA AVE, SUITE 102, RHINELANDER, WI 54501-3422
(715) 362-8825
(715) 362-8830
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2749-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40101500
—
WI
Enumeration date
03/24/2010
Last updated
04/14/2010
Update your record
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