| NPI | 1821221391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE BISGROVE Business Administrator 715-845-3775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 2469-024) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2011-04-22 |