| NPI | 1831363738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT J KABBAZ Owner/President 608-441-0032 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-013614) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070-014463) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070-013614) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |