| NPI | 1215194907 |
|---|---|
| Doing Business As | (INACTIVE)LMC CLUB HOUSE PT, OT |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE KLEIN CFO 715-236-6129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 1562800) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, (Licence: WI 1562800) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2024-11-20 |