| NPI | 1205127065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY K KORB Physical Therapist 414-305-8946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: WI 10827-024) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |