| NPI | 1740279611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIN SCHOBER Owner 715-855-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2023-04-10 |