| NPI | 1922363555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARREN S KO Owner 920-356-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: WI 9886024) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2022-07-21 |