| NPI | 1356457618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAM SHROPSHIRE Physical Therapist , Owner 920-734-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: WI 3150024) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-03-05 |