NPI | 1740060433 |
---|---|
Doing Business As | BOULDER SPORTS PHYSIOTHERAPY |
Entity Type | Organization |
Authorized Contact | SARAH ZIMMER Owner And Physical Therapist 262-914-2307 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2023-10-02 |
Last Update Date | 2023-10-02 |