| NPI | 1972864155 |
|---|---|
| Doing Business As | FYZICAL THERAPY AND BALANCE WAUKESHA |
| Entity Type | Organization |
| Authorized Contact | MATTHEW GIBBONS Owner 262-349-9297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 10389-24) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2021-03-25 |