| NPI | 1679353833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WEBB-BUFFINGTON Business Office Manager 608-413-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |