| NPI | 1033088653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE NELSON Owner And Physical Therapist 262-203-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |