Organization
PALUCHNIAK PHYSICAL THERAPY LLC
Active
Other names
Evolv Physical Therapy & Performance
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PALUCHNIAK (OWNER)
(920) 627-2479
Entity
Organization
Contact information
Practice address
1930 WISCONSIN AVE STE 31, GRAFTON, WI 53024-2632
(920) 627-2479
Mailing address
1930 WISCONSIN AVE STE 31, GRAFTON, WI 53024-2632
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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