| 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 |