| NPI | 1356463087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI DRESEN Revenue Cycle Manager 715-607-1758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 5270-024) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2022-09-27 |