OrganizationActive
Advance Therapy Center, Inc
NPI 1861601262 · Physical Therapist · Fond Du Lac, WI
Provider details
- NPI number
- 1861601262
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Karla King, Office Manager
- License
- 3756-024 (WI)
Practice location
976 E Johnson St
Ste. 100
Fond Du Lac, WI 54935-9746
Phone: (920) 322-9128
Mailing address
3475 Omro Rd
Oshkosh, WI 54904-7125
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.