Organization
WELLNESS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE KOTH MPT (OWNER)
(608) 359-1737
Entity
Organization
Contact information
Practice address
4539 WOODGATE DR, SUITE A, JANESVILLE, WI 53546-8205
(608) 359-1737
Mailing address
4139 WINDMILL LN, JANESVILLE, WI 53546-4206
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6430024
WI
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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