| NPI | 1649389479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HEBERT Owner, Office Manager 715-358-1929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2009-04-17 |