Sport & Spine Clinic of Fort Atkinson Limited Partnership

NPI #1851477780 in Madison, Wisconsin

Provider Information

NPI Number: 1851477780
Entity Type: Organization
Organization Name: Sport & Spine Clinic of Fort Atkinson Limited Partnership
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Oct 31, 2006
Last Updated: Nov 27, 2012

Practice Location

Address: 340 S WHITNEY WAY
Address 2: SUITE 200
City: Madison
State: Wisconsin
ZIP Code: 53705-4656
Phone: (608) 238-1312

Authorized Official

Name: RICHARD BINSTEIN, JD
Title: VP,AUTHORIZED OFFICIAL
Phone: (713) 297-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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