| NPI | 1669649109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM N PARKER Administrator 920-233-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 4569026) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |