| NPI | 1487821252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J MEIVES Owner 608-513-1518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: WI 3829024) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |