| NPI | 1841402906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ELIZABETH THEIS Occupational Therapist 608-249-5589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 344026) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |