Organization
NISSENBAUM AND SCHLEUSNER PRO PHYSICAL THERAPY LLC
Active
Other names
PRO Physical Therapy - ETC Mazomanie
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA WEBB-BUFFINGTON (BUSINESS OFFICE MANAGER)
(608) 413-0550
Entity
Organization
Contact information
Practice address
711 ETC DR, MAZOMANIE, WI 53560-9832
(608) 413-0550
(608) 413-0552
Mailing address
1118 MAIN ST STE A, CROSS PLAINS, WI 53528-9477
(608) 413-0550
(608) 413-0552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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