| NPI | 1558374108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA M VANAACKEN Co Owner 920-231-5195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 6434-024) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-03-07 |