Organization
SELECT PHYSICAL THERAPY OF GREEN BAY LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 975-4503
Entity
Organization
Contact information
Practice address
3311 CALUMET AVE, MANITOWOC, WI 54220-5425
(920) 683-9710
Mailing address
3311 CALUMET AVE, MANITOWOC, WI 54220-5425
(920) 683-9710
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2006
Last updated
03/11/2008
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