| NPI | 1093313074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY RUSH Owner, Physical Therapist 262-204-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |