Healthcare Provider Details

I. General information

NPI: 1811101645
Provider Name (Legal Business Name): VISION FORWARD ASSOCIATION INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10150 W NATIONAL AVE
WEST ALLIS WI
53227-2145
US

IV. Provider business mailing address

10150 W NATIONAL AVE
WEST ALLIS WI
53227-2145
US

V. Phone/Fax

Practice location:
  • Phone: 414-615-0100
  • Fax: 414-238-2261
Mailing address:
  • Phone: 414-615-0100
  • Fax: 414-238-2261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JACLYN BORCHARDT
Title or Position: CEO
Credential:
Phone: 414-615-0100