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1639410434
RENEW PHYSICAL THERAPY, INC
GREEN BAY, WI
NPI
1639410434
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Entity Type
Organization
Authorized Contact
SHAWN E JACKSON
Physical Therapist
920-833-2284
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2013-03-05
Last Update Date
2013-03-22
Business Address
RENEW PHYSICAL THERAPY, INC
2701 LARSEN RD SUITE 111
GREEN BAY, WI 54303-4863
Phone number: 920-883-2284
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Mailing Address
RENEW PHYSICAL THERAPY, INC
2701 LARSEN RD SUITE 111
GREEN BAY, WI 54303-4863
Phone number: 920-883-2284
Copy
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