In- Home Rehab Southeastern

NPI 1215950696 - Occupational Therapist - 225X00000X

NPI Details
NPI 1215950696
Enumeration Date 07/25/2006
Last Updated 06/17/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ERIC WILLIAM ERIC
Position OWNER
Phone (262) 331-4397
Fax
Practice Location
102 NORTH STATE STREET
ROCHESTER WI, 53167, US
Phone (262) 331-4397
Fax
Business Location
PO BOX 367
ROCHESTER WI, 53167-0367, US
Phone
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Wisconsin
License Number 4088026
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According to our database, In- Home Rehab Southeastern NPI is 1215950696, taxonomy code is 225X00000X and license number is 4088026, license state is located at Wisconsin. In- Home Rehab Southeastern physically located at 102 North State Street, Rochester WI, 53167. NPI Number 1033115704 has the healthcare provider type.

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1215950696 NPI number is provided on an as is basis without warranty of any kind. 1215950696 is maintained by the National Plan & Provider Enumeration System. The contents of In- Home Rehab Southeastern are for informational purposes only.