Provider First Line Business Practice Location Address:
411 PRAIRIE HEIGHTS DR
Provider Second Line Business Practice Location Address:
STE 101 CAPITOL PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
VERONE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53593
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-848-6628
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/27/2006