Organization
MIDWEST PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PRICE (CEO)
(715) 568-4669
Entity
Organization
Contact information
Practice address
200 MEMORIAL DR, MONDOVI, WI 54755-1325
(715) 568-4669
Mailing address
200 MEMORIAL DR, MONDOVI, WI 54755-1325
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4154-154
WI
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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