| NPI | 1487323358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE MARIE COOPER Physical Therapist 920-740-9670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2025-11-24 |