NPI | 1346378510 |
---|---|
Doing Business As | CAPITOL REHABILITATION CLINIC |
Entity Type | Organization |
Authorized Contact | BENJAMIN S GOZON President 414-464-4888 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: WI 42976) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2011-02-24 |