Orthopedic & Spine Therapy of Clintonville, Sc

NPI #1821105354 in Shawano, Wisconsin

Provider Information

NPI Number: 1821105354
Entity Type: Organization
Organization Name: Orthopedic & Spine Therapy of Clintonville, Sc
Primary Specialty: Physical Therapist
Enumeration Date: Aug 23, 2006
Last Updated: Jun 21, 2018

Practice Location

Address: 205 W GREEN BAY ST
City: Shawano
State: Wisconsin
ZIP Code: 54166-2333
Phone: (715) 526-5433

Authorized Official

Name: PAUL STEVEN BARNETT
Title: OWNER-PRESIDENT
Phone: (920) 257-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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