NPI 1083136758
Physical Achievement Center LLC
Practice location
- Address
- 3475 Omro Rd STE 300, Oshkosh, WI 54904
- Phone
- (920) 230-2747
- Fax
- (920) 385-7074
- Mailing address
- 3475 Omro Rd STE 300, Oshkosh, WI 54904-7126
Authorised official
- Name
- Eric Leo Koehler
- Title
- Owner
- Phone
- (920) 379-9692
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1083136758
- Entity type
- Organization
- NPI issued
- 13 Jul 2017
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.