| NPI | 1861754244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASOOD WASIULLAH President 414-525-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |