Spine & Orthopedic Physical Therapy

NPI #1205954369 in Beloit, Wisconsin

Provider Information

NPI Number: 1205954369
Entity Type: Organization
Organization Name: Spine & Orthopedic Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Mar 27, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2958 PRAIRIE AVE STE B
City: Beloit
State: Wisconsin
ZIP Code: 53511-1825
Phone: (608) 368-9783

Authorized Official

Name: OLALEKAN LUKMAN GANIYU, P.T.
Title: OWNER OF PRACTICE AND P.T.
Phone: (608) 368-9783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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