| NPI | 1750530812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET GONZALES-CHARLES Owner 414-712-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 3591-24) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2012-10-11 |