| NPI | 1437872462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY VAN DIXHORN Physical Therapist 414-801-3687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-09-23 |