NPI | 1396903233 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLYE JOY KNUEPPEL President 262-784-9201 |
Organization Subpart ? | No |
Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: WI 2553-035) |
Enumeration Date | 2008-05-28 |
Last Update Date | 2008-05-28 |