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 |