| NPI | 1689456824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN SUSAN WALZ Physical Therapist 608-780-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |