| NPI | 1619305703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE B. PANDL President And Chief Executive Offic 920-884-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 1193624) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2021-12-22 |