| NPI | 1760766794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY L BUCHNER Physical Therapist Assistant 608-728-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 160005805) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2012-03-13 |