NPI | 1902133994 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH VASQUEZ Office Manager 262-695-1870 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: WI 3022) |
Enumeration Date | 2009-11-11 |
Last Update Date | 2020-01-13 |