Advance Physical Therapy & Sports Rehab, LLC
NPI #1922363555 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1922363555
- Entity Type
- Organization
- Organization Name
- Advance Physical Therapy & Sports Rehab, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jul 10, 2012
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 201 GATEWAY DR STE 300
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-9176
- Phone
- (920) 356-0122
Authorized Official
- Name
- KARREN S KO, PT
- Title
- OWNER
- Phone
- (920) 356-0122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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