| NPI | 1265658090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHN LABISCH Physical Therapist 414-858-9306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 3460024) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2013-10-08 |