| NPI | 1124016407 |
|---|---|
| Doing Business As | HAIGHT PAIN |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L WILLETTE Billing Manager 920-437-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 1934) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 2368) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2014-08-27 |