Advance Physical Therapy and Sports Rehab, LLC
NPI #1780022525 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1780022525
- Entity Type
- Organization
- Organization Name
- Advance Physical Therapy and Sports Rehab, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jun 13, 2013
- Last Updated
- Jun 13, 2013
Practice Location
- Address
- 1626 N SPRING ST STE B
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-1283
- Phone
- (920) 356-0122
Authorized Official
- Name
- MR. JIM KO
- Title
- BUSINESS MANAGER
- Phone
- (920) 356-0122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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