| NPI | 1962088625 |
|---|---|
| Doing Business As | EVOLV PHYSICAL THERAPY & PERFORMANCE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW PALUCHNIAK Owner 920-627-2479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |