| NPI | 1912418138 |
|---|---|
| Doing Business As | SORUM PHYSIOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | WENDY KIRK Credentialing Specialist 414-745-0522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11704-24) |
| Enumeration Date | 2017-10-15 |
| Last Update Date | 2017-10-15 |