| NPI | 1871031773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN PIEPER Member Manager 262-422-8190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 3158-26) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: WI 3158-26) |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: WI 3158-26) | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |