| NPI | 1689779902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE BALISTRERI-RODEN Senior Account Administrator 262-942-0163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-03-03 |