| NPI | 1457420648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE L HEBAR Owner 262-363-3014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 3044) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 3746) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |