Back in Action Rehabilitation S.c.

NPI #1053512095 in Kewaskum, Wisconsin

Provider Information

NPI Number: 1053512095
Entity Type: Organization
Organization Name: Back in Action Rehabilitation S.c.
Subpart: Yes (part of a larger organization)
Parent Organization: BACK IN ACTION REHABILITATION SC
Primary Specialty: Physical Therapist
Enumeration Date: May 29, 2007
Last Updated: Nov 1, 2010

Practice Location

Address: 1057 FOND DU LAC AVE
City: Kewaskum
State: Wisconsin
ZIP Code: 53040-9495
Phone: (262) 626-6700

Authorized Official

Name: SHARON WUNSCH
Title: OFFICE MANAGER
Phone: (920) 922-7776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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