| NPI | 1710163878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY W BURKHARDT Member, Manager 608-786-4989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 3650024) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-01-18 |