| NPI | 1700217205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN M NOVAK Docatorate Physical Therapy 414-412-8072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 10888-24) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |