| NPI | 1962450676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE STEPHEN MANN President 262-689-8185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 1516-024) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2010-06-09 |