Anthony M Gloudemans, PT
Physical Therapist in Green Bay, WI. Individual provider (NPI-1).
NPI number1518366756
StatusActive
Last updated in NPPESMar 11, 2022
Details
- NPI
- 1518366756
- Entity type
- Individual (NPI-1)
- Name
- Anthony M Gloudemans
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2014
- Certification date
- Mar 11, 2022
- Last updated
- Mar 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 12721 | WI | Yes |
Practice location
1630 Commanche AveGreen Bay, WI 54313-5753
Phone 920-430-4560 · Fax 920-460-4558
Mailing address
Po Box 22487Green Bay, WI 54305-2487
Phone 920-445-7222 · Fax 920-445-7289
Other practice locations
323 S 18th Ave
Sturgeon Bay, WI 54235
Sturgeon Bay, WI 54235
Phone 920-746-3501
2820 Roosevelt Rd
Marinette, WI 54143-3834
Marinette, WI 54143-3834
Phone 715-735-5225 · Fax 715-735-5388
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