| NPI | 1497851265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KAFKA Executive Director 920-339-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-08-28 |