| NPI | 1053413567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHRISTOPHER BEAUCHAMP President/CEO 414-640-2372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI PT 5600-024) |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2013-04-22 |