| NPI | 1154589463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANDREW PASSINAULT Physical Therapist 414-647-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 3136) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |