| NPI | 1548511975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN RENAE HODI Owner 414-807-7609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 2513-146) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |