| NPI | 1356655393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY NEGUS Director 715-495-3768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 2363-26) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: WI 28038) |
| 224Z00000X Occupational Therapy Assistant (Licence: WI 1617-27) | |
| 235Z00000X Speech-Language Pathologist, (Licence: WI 718241) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2011-01-06 |