| NPI | 1992808166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE K STROOBANTS Clinic/Provider Maintenance 920-433-7864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2021-10-18 |