| NPI | 1013076652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BARRETTE President 715-735-9388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 1758-024) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |