North Eastern Wisconsin Rehabilitation Corporation

NPI 1417017369 - Physical Therapist - 225100000X

NPI Details
NPI 1417017369
Enumeration Date 12/11/2006
Last Updated 02/19/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name REBECCA REBECCA
Position PRESIDENT
Phone (920) 982-5440
Fax
Practice Location
307 SMITH ST
NEW LONDON WI, 54961-1410, US
Phone (920) 982-5440
Fax
Business Location
307 SMITH ST
NEW LONDON WI, 54961-1410, US
Phone (920) 982-5440
Fax
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 10012-024
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According to our database, North Eastern Wisconsin Rehabilitation Corporation NPI is 1417017369, taxonomy code is 225100000X and license number is 10012-024, license state is located at Wisconsin. North Eastern Wisconsin Rehabilitation Corporation physically located at 307 Smith St, New London WI, 54961-1410. NPI Number 1033115704 has the healthcare provider type.

1417017369 NPI number is provided on an as is basis without warranty of any kind. 1417017369 is maintained by the National Plan & Provider Enumeration System. The contents of North Eastern Wisconsin Rehabilitation Corporation are for informational purposes only.