| NPI | 1497079131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI LISA LUNDMARK Owner 715-362-8825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 2749-24) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-04-14 |