Organization
CEREBRAL PALSY, INC.
Active
Other names
CP Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON SYNDERGAARD (EXECUTIVE DIRECTOR)
(920) 337-1122
Entity
Organization
Contact information
Practice address
2801 S WEBSTER AVE, GREEN BAY, WI 54301-2878
(920) 337-1122
(920) 337-1126
Mailing address
2801 S WEBSTER AVE, BILLING DEPARTMENT, GREEN BAY, WI 54301-2878
(920) 337-1122
(920) 337-1126
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41810300
—
WI
Enumeration date
05/25/2006
Last updated
03/10/2022
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