Excel Pt, LLC

NPI #1306079991 in Oshkosh, Wisconsin

Provider Information

NPI Number: 1306079991
Entity Type: Organization
Organization Name: Excel Pt, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 28, 2009
Last Updated: Aug 28, 2009

Practice Location

Address: 420 N KOELLER ST
City: Oshkosh
State: Wisconsin
ZIP Code: 54902-4111
Phone: (920) 233-8739

Authorized Official

Name: MR. ROBERT RUNGE, PT
Title: OWNER
Phone: (920) 233-8739

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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