| NPI | 1699965525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LOIS Owner/President 414-744-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: WI 10406024) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2019-10-11 |