| NPI | 1508940024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD TODD PRATTE Manager 414-545-2561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 3621-024) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-01-11 |