| NPI | 1689140287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE F. GABEL Owner And Sole PT Provider 414-350-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |