| NPI | 1346599727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LOUISE DONOVAN Physical Therapist Assistant 608-343-5663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 1907-19) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |