Oconto Physical Therapy, LLC

NPI #1124016407 in Green Bay, Wisconsin

Provider Information

NPI Number: 1124016407
Entity Type: Organization
Organization Name: Oconto Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 11, 2005
Last Updated: Aug 27, 2014

Practice Location

Address: 300 N BROADWAY
Address 2: SUITE 3C
City: Green Bay
State: Wisconsin
ZIP Code: 54303-2702
Phone: (920) 437-7246

Authorized Official

Name: CYNTHIA L WILLETTE
Title: BILLING MANAGER
Phone: (920) 437-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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