| NPI | 1588845804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R VAN SUSTEREN Physical Therapis / Owner 262-248-9902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 4467024) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2010-04-07 |