| NPI | 1114169943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI WEBSTER-DAHL Physical Therapist 608-847-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2018-03-26 |