| NPI | 1427103738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LEE ULRICH President 262-939-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 5733-024) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |