NPI | 1093124331 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA PAJERSKI President 608-709-7072 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 4988-26) |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist (Licence: IL 056.009345) | |
Enumeration Date | 2014-08-12 |
Last Update Date | 2020-05-12 |