| NPI | 1083675417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J BARGE President/Owner 608-788-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2007-11-01 |