| NPI | 1801882451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DENISE SOLECKI Business Manager 262-925-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 6483024) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-08-22 |