| NPI | 1831289107 |
|---|---|
| Doing Business As | BACK & BODY REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | TINA L SWANKE Owner 920-229-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WI 729-026) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2020-08-22 |