| NPI | 1083696702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY L. LUNDEEN Director 715-859-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2020-08-22 |