Organization
ROBERT RUNGE DBA EXCEL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CHARLES RUNGE JR. PT (OWNER)
(920) 233-8739
Entity
Organization
Contact information
Practice address
420 N KOELLER ST, OSHKOSH, WI 54902-4111
(920) 233-8739
(920) 233-8732
Mailing address
420 N KOELLER ST, OSHKOSH, WI 54902-4111
(920) 233-8739
(920) 233-8732
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40420300
—
WI
Enumeration date
08/11/2006
Last updated
06/24/2008
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