| NPI | 1356485791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R TAYLOR Co Owner 920-322-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-02-04 |