| NPI | 1790273621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA MELLEIN Owner/Physical Therapist 414-202-4438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |