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General NPI Number Information
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NPI Number | 1689456824
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Entity Type | Organization
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Legal Business Name | WALZ PHYSICAL THERAPY AND WELLNESS LLC
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Dates
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Enumeration Date | 10/20/2023
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | N5560 COUNTY ROAD ZM
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City | ONALASKA
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State | WI
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Zip | 54650-1300
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Country | US
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Telephone | 608-779-5323
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 PINE RIDGE DR
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City | ONALASKA
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State | WI
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Zip | 54650-2027
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Country | US
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Telephone | 608-780-0352
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | COLLEEN SUSAN WALZ
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Credential | PT
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Telephone | 608-780-0352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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