| NPI | 1336556042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA JAMES DAHLKE President / CEO 920-882-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10880-024) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |