Mind Body Ot LLC
NPI #1972063691 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1972063691
- Entity Type
- Organization
- Organization Name
- Mind Body Ot LLC
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Mar 20, 2019
- Last Updated
- Mar 21, 2019
Practice Location
- Address
- 201 GATEWAY DR.
- Address 2
- STE 300
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-9176
- Phone
- (920) 763-3534
Authorized Official
- Name
- SUSAN M BAUMANN, OT
- Title
- OWNER
- Phone
- (920) 763-3534
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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