| NPI | 1578287272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI DRESEN Revenue Cycle Manager 715-855-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |