| NPI | 1326120866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HERR Credentialing Specialist 608-957-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-03-03 |