| NPI | 1508023185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM N PARKER Administrator 920-233-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10918024) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |