| |
3010 Business Highway 141, Pound, WI 54161 | |
(920) 897-4799 | |
(920) 897-4128 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 3010 Business Highway 141, Pound, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881771632 | NPI | - | NPPES |
40133900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 864024 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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Po Box 11, Pound, WI 54161 Ph: (920) 897-4799 | 3010 Business Highway 141, Pound, WI 54161 Ph: (920) 897-4799 |
Peter A Sytsma, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3010 Highway 141, Pound, WI 54161 Phone: 920-897-4799 Fax: 920-897-4128 |