NPI 1629368337
Pediatric Rehabilitation Medicine Associates,llc
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
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.