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Organization

ADVANCED ORTHOPAEDIC PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH CALLEN FISHER PT, OCS, MTC (PHYSICAL THERAPIST/OWNER)
(920) 242-1122
Entity
Organization

Contact information

Practice address
1212 MEMORIAL DR, SUITE 1, MANITOWOC, WI 54220-2247
(920) 652-9554
(920) 652-9556
Mailing address
1212 MEMORIAL DR, SUITE 1, MANITOWOC, WI 54220-2247
(920) 652-9554
(920) 652-9556

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
08/10/2007
Last updated
10/25/2007
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