| NPI | 1932211141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MAHLER President 414-766-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |