Organization
BURKHARDT PHYSICAL THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY W BURKHARDT (MEMBER, MANAGER)
(608) 786-4989
Entity
Organization
Contact information
Practice address
1540 HERITAGE BLVD STE 101A, WEST SALEM, WI 54669-1418
(608) 786-4989
Mailing address
1540 HERITAGE BLVD STE 101A, WEST SALEM, WI 54669-1418
(608) 786-4989
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3650024
WI
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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