| NPI | 1053397869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R SCHAEFER COO 414-963-5902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: WI 261QR0400X) |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2014-08-18 |