| NPI | 1104913623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E MULLEN Owner 715-356-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 33657) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2009-01-08 |