| NPI | 1447426929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL FONS Manager 608-743-0741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: WI 4441024) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |