| NPI | 1770834897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HANSON Office Assistant 715-732-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 12157-24) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |