Organization
ADVANCED PHYSICAL THERAPY & SPORTS MEDICINE OF SHAWANO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT P WORTH PT (PRESIDENT)
(920) 991-2561
Entity
Organization
Contact information
Practice address
212 E GREEN BAY ST, SUITE A, SHAWANO, WI 54166
(715) 526-5221
(715) 526-2542
Mailing address
212 E GREEN BAY ST, SUITE A, SHAWANO, WI 54166
(715) 526-5221
(715) 526-2542
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
08/22/2020
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