| NPI | 1952872368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEKDON D HIRSCHUBER Owner/Manager 608-738-9129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |