Organization
NORTHWOODS SPORT & HAND, INC
Active
Organization
NORTHWOODS SPORT & HAND, INC
Active
Other names
NORTHWOODS THERAPY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
TJ NERENG PT, DPT, OCS (PT/OWNER)
(715) 839-9266
Entity
Organization
Contact information
Practice address
1200 OAKLEAF WAY, SUITE B, ALTOONA, WI 54720-2309
(715) 839-9266
Mailing address
1200 OAKLEAF WAY, SUITE B, ALTOONA, WI 54720-2309
(715) 839-9266
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
WI
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40428500
—
WI
05
—
41638600
—
WI
Enumeration date
10/13/2006
Last updated
02/19/2024
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