| NPI | 1376883835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERTS Owner/Physical Therapist 414-763-2941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 11728-24) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2024-08-20 |