NPI | 1598098808 |
---|---|
Entity Type | Organization |
Authorized Contact | RONA ALEXANDER Vice President 414-771-8117 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: WI 1380-024) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WI 1202-026) |
235Z00000X Speech-Language Pathologist, (Licence: WI 5-154) | |
Enumeration Date | 2009-09-18 |
Last Update Date | 2010-05-24 |