| NPI | 1790238145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUBRIANNE SQUIRE Occupational Therapist 715-307-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: UT 9819526-4201) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |