| NPI | 1144753542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRADY Owner 920-680-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 9918-24) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2022-12-27 |