NPI | 1730451162 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY JAMES RUPNOW Doctor Of Physical Therapy Member 608-333-8504 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 6515-24) |
Enumeration Date | 2012-02-01 |
Last Update Date | 2012-02-01 |