Orthopedic & Spine Therapy Of New London, Sc
Clinic/Center, Physical Therapy in Hortonville, WI. Organization (NPI-2).
NPI number1164080388
StatusActive
Last updated in NPPESMay 16, 2025
Details
- NPI
- 1164080388
- Entity type
- Organization (NPI-2)
- Legal business name
- Orthopedic & Spine Therapy Of New London, Sc
- Organization subpart
- No
- Enumeration date
- Jun 3, 2019
- Certification date
- May 16, 2025
- Last updated
- May 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
315 E Main StreetSuite 400
Hortonville, WI 54944
Phone 920-257-2000 · Fax 920-257-2004
Mailing address
1000 Midway RdMenasha, WI 54952-1116
Phone 920-257-2005 · Fax 920-257-2004
Authorized official
Amy M Barnett
Administrator
9202572005
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