MR. Neil A Wahlstrom, PT, MBA

NPI #1780761411 in Eagle River, Wisconsin

Provider Information

NPI Number: 1780761411
Entity Type: Individual
Name: MR. Neil A Wahlstrom, PT, MBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, MBA
Enumeration Date: Nov 1, 2006
Last Updated: Mar 6, 2009

Practice Location

Address: 528 W PINE ST
City: Eagle River
State: Wisconsin
ZIP Code: 54521-9083
Phone: (715) 477-1523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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