| NPI | 1245879048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG PETER FERNANDEZ Physical Therapist 414-232-8382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |