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1770768046
SPINE AND SPORT PHYSICAL THERAPY OF WAUPACA LLC
WAUPACA, WI
NPI
1770768046
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Entity Type
Organization
Authorized Contact
MICHAEL RAY KOCH
Member
920-538-3670
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2008-01-07
Last Update Date
2008-03-16
Business Address
SPINE AND SPORT PHYSICAL THERAPY OF WAUPACA LLC
1439 CHURCHILL ST STE 102
WAUPACA, WI 54981-2089
Phone number: 920-538-3670
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Mailing Address
SPINE AND SPORT PHYSICAL THERAPY OF WAUPACA LLC
1439 CHURCHILL ST STE 102
WAUPACA, WI 54981-2089
Phone number: 920-538-3670
Copy
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