| NPI | 1255386454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERIT KRISTENSEN GEORGEOFF Director Of Operations 414-272-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2021-11-04 |