Organization
LITTLE STROKES SWIM ACADEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MICHAEL TYGUM (OWNER)
(608) 335-3297
Entity
Organization
Contact information
Practice address
1029 QUINN DR, WAUNAKEE, WI 53597-2502
(608) 819-0134
Mailing address
1029 QUINN DR, WAUNAKEE, WI 53597-2502
(608) 819-0134
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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