| NPI | 1053508978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD G GOLDBECK Owner/Director 608-279-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 6214-024) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2013-08-28 |