Whalio Doctors

NPI 1629368337

Pediatric Rehabilitation Medicine Associates,llc

Organisation Pediatric Rehabilitation Medicine Physician Wauwatosa, WI

Practice location

Address
3333 N. Mayfair Rd Suite 103, Wauwatosa, WI 53222-3219
Phone
(262) 527-1998
Fax
(866) 562-3609
Mailing address
18970 Cavendish Rd, Brookfield, WI 53045-8159

Authorised official

Name
Elizabeth Moberg-Wolff
Title
Owner
Phone
(262) 527-1998

Registered specialties

Pediatric Rehabilitation Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2081P0010X Licence 32483020 (WI)

Registry record

NPI
1629368337
Entity type
Organization
NPI issued
14 Apr 2011
Record last updated
1 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.