Organization
SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP
Active
Other names
Sport & Spine Clinic of Jefferson
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BINSTEIN JD (VP,AUTHORIZED OFFICIAL)
(713) 297-7000
Entity
Organization
Contact information
Practice address
222 S WISCONSIN DRIVE, SUITE 3, JEFFERSON, WI 53549
(920) 699-4201
(920) 699-4204
Mailing address
1300 W SAM HOUSTON PKWY S, SUITE 300, HOUSTON, TX 77042-2447
(713) 297-7000
(713) 297-7090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
11/28/2012
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