Organization
EVOLUTION EXERCISE AND SPINE CENTER OF MADISON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HALL M.P.T. (EMPLOYEE)
(608) 662-0016
Entity
Organization
Contact information
Practice address
376 JUNCTION RD, MADISON, WI 53717-2612
(608) 662-0016
Mailing address
376 JUNCTION RD, MADISON, WI 53717-2612
(608) 662-0016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
04/08/2009
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