| NPI | 1336443878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD OLVIS MONDANO President 414-736-6807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 225X00000X Occupational Therapist | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2010-12-25 |
| Last Update Date | 2010-12-25 |