Southport Rehab Associates, Inc

NPI 1114929064 - Clinic/Center - 261QR0400X

NPI Details
NPI 1114929064
Enumeration Date 08/11/2005
Last Updated 04/10/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name WILLIAM H WILLIAM
Position PRESIDENT
Phone (262) 694-3977
Fax (262) 694-5648
Practice Location
7201 GREEN BAY RD
KENOSHA WI, 53142-3522, US
Phone (262) 694-3977
Fax (262) 694-5648
Business Location
7201 GREEN BAY RD
KENOSHA WI, 53142-3522, US
Phone (262) 694-3977
Fax (262) 694-5648
Toxanomy
Taxonomy Code 261QR0400X
License State
License Number
Remove 1114929064 NPI Number
 

According to our database, Southport Rehab Associates, Inc NPI is 1114929064, taxonomy code is 261QR0400X Southport Rehab Associates, Inc physically located at 7201 Green Bay Rd, Kenosha WI, 53142-3522. NPI Number 1033115704 has the healthcare provider type.

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1114929064 NPI number is provided on an as is basis without warranty of any kind. 1114929064 is maintained by the National Plan & Provider Enumeration System. The contents of Southport Rehab Associates, Inc are for informational purposes only.