| NPI | 1215478763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELO D TENUTA President / CEO 262-925-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2020-06-05 |