| NPI | 1962649871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE KOTH Owner 608-359-1737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 6430024) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |