| NPI | 1194611939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN SPIEDEL Operations Manager 262-764-5891 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225X00000X Occupational Therapist | |
| 225XP0019X Occupational Therapist Physical Rehabilitation | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-07-07 |