Orthopedic & Spine Therapy Of Lakewood, Sc | |
17187 Twin Pines Rd, Lakewood, WI 54138-9300 | |
(920) 257-2000 | |
(920) 257-2004 |
Full Name | Orthopedic & Spine Therapy Of Lakewood, Sc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 17187 Twin Pines Rd, Lakewood, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023338506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Paul S Barnett |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154368777 PECOS PAC ID: 6901701655 Enrollment ID: I20041026001048 |
Provider Name | Jerome Gerard Charles |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225057912 PECOS PAC ID: 8628088549 Enrollment ID: I20060421000320 |
Provider Name | Alex J Conway |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336625797 PECOS PAC ID: 0446583041 Enrollment ID: I20190613002837 |
Provider Name | Jenna R Packer |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902639610 PECOS PAC ID: 1153729157 Enrollment ID: I20211005003171 |
Provider Name | Gregory J Mishica |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922545250 PECOS PAC ID: 0547659435 Enrollment ID: I20211115002543 |
Mailing Address | Practice Location Address |
---|---|
Orthopedic & Spine Therapy Of Lakewood, Sc 4000 N Providence Ave, Appleton, WI 54913-8018 Ph: (920) 257-2000 | Orthopedic & Spine Therapy Of Lakewood, Sc 17187 Twin Pines Rd, Lakewood, WI 54138-9300 Ph: (920) 257-2000 |