The Arc Of Fond Du Lac

NPI 1003993809 - Physical Therapist - 2251P0200X

NPI Details
NPI 1003993809
Enumeration Date 11/01/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CAROL L CAROL
Position BILLING MANAGER
Phone (920) 929-8858
Fax (920) 923-3038
Practice Location
500 N PARK AVE
FOND DU LAC WI, 54935-1943, US
Phone (920) 929-8858
Fax (920) 923-3038
Business Location
500 N PARK AVE
FOND DU LAC WI, 54935-1943, US
Phone (920) 929-8858
Fax (920) 923-3038
Toxanomy
Taxonomy Code 2251P0200X
License State Wisconsin
License Number 5225-024
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According to our database, The Arc Of Fond Du Lac NPI is 1003993809, taxonomy code is 2251P0200X and license number is 5225-024, license state is located at Wisconsin. The Arc Of Fond Du Lac physically located at 500 N Park Ave, Fond Du Lac WI, 54935-1943. NPI Number 1033115704 has the healthcare provider type.

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1003993809 NPI number is provided on an as is basis without warranty of any kind. 1003993809 is maintained by the National Plan & Provider Enumeration System. The contents of The Arc Of Fond Du Lac are for informational purposes only.