NPI | 1336835339 |
---|---|
Former Legal Business Name | CONNECTED CORE LLC |
Entity Type | Organization |
Authorized Contact | MEAGAN PEETERS GEBLER Physical Therapist 920-428-3301 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2023-04-12 |
Last Update Date | 2023-12-03 |