| |
340 N Green Bay Ave, Gillett, WI 54124-9325 | |
(920) 855-2823 | |
(920) 855-6343 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 340 N Green Bay Ave, Gillett, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700107844 | NPI | - | NPPES |
1851477913 | Other | CMH NPI | |
1417188673 | Other | WI | BURKEL NPI |
11014110 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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855 S Main St, Oconto Falls, WI 54154-1241 Ph: (920) 846-3444 | 340 N Green Bay Ave, Gillett, WI 54124-9325 Ph: (920) 855-2823 |