| NPI | 1902983802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES REITZ Owner/Physical Therapist 414-529-4605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 3307-024) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-10-01 |