| NPI | 1184996415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE K STROOBANTS Credentialing Specialist 920-445-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2020-01-03 |