| NPI | 1033578380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY ANNE GUM Occupational Therapist 920-208-9648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: WI 5825-26) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |