Organization
RESILIENCE RX LLC
Active
Organization
RESILIENCE RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH SAWALL PT, DPT (OWNER)
(989) 859-0648
Entity
Organization
Contact information
Practice address
N55W35791 LISBON RD, OCONOMOWOC, WI 53066-2485
(989) 859-0648
Mailing address
N55W35791 LISBON RD, OCONOMOWOC, WI 53066-2485
(989) 859-0648
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R072327
DEPARTMENT OF FINANCIAL INSTITUTIONS
WI
Enumeration date
03/25/2019
Last updated
11/24/2020
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