| NPI | 1104042902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA LINDA HORSWELL Office Manager 262-652-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 3534-026) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2013-08-26 |