NPI | 1255828034 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY SUSAN VIRAG Owner/Physical Therapist 608-957-7088 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics |
2251X0800X Physical Therapist Orthopedic | |
Enumeration Date | 2018-04-17 |
Last Update Date | 2018-04-17 |