NPI | 1558758573 |
---|---|
Doing Business As | CONNOLLY PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | ANDREW JOHN CONNOLLY Owner And President 262-945-0024 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 5392024) |
Enumeration Date | 2015-04-16 |
Last Update Date | 2015-04-16 |