| NPI | 1104299940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A TENUTA Senior Vice President/COO 262-925-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2020-06-05 |