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 |