| NPI | 1811358849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MCGUIRE Owner 608-217-6841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070018695) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |