| NPI | 1477205227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH OLLEY Owner 262-497-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-02-24 |