NPI | 1508094400 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA M MACHOTKA Physical Therapist Owner 715-421-6830 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 5855-024) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2010-11-29 |