| NPI | 1538256458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELO D. TENUTA Presdent/CEO 262-657-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-02-15 |