Organization
FOX VALLEY PHYSICAL THERAPY & WELLNESS CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PAUL SOBOJINSKI O.T.R. (PRESIDENT/OCCUPATIONAL THERAPIST)
(920) 235-8966
Entity
Organization
Contact information
Practice address
909 S WASHBURN ST, OSHKOSH, WI 54904-8051
(920) 235-8966
Mailing address
909 S WASHBURN ST, OSHKOSH, WI 54904-8051
(920) 235-8966
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40417900
—
WI
Enumeration date
01/09/2006
Last updated
05/19/2008
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