| NPI | 1992977862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BLANKENHEIM Managing Member 920-830-6697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |