| NPI | 1306982251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LYNN STEVENS President 608-278-4268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10650-024) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |