| 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 |