| NPI | 1245238906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P. RILEY President 414-339-7871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 4806-024) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |