| NPI | 1548412836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY RAE GONYO Speech Language Pathologist 920-290-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |