NPI | 1861633299 |
---|---|
Entity Type | Organization |
Authorized Contact | ORLA BRIDGET COFFEY President 414-688-3238 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 4628-24) |
Enumeration Date | 2009-03-15 |
Last Update Date | 2009-03-15 |