Southport Rehab Associates, INC
NPI #1114929064 in Kenosha, Wisconsin
Provider Information
- NPI Number
- 1114929064
- Entity Type
- Organization
- Organization Name
- Southport Rehab Associates, INC
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Aug 11, 2005
- Last Updated
- Apr 10, 2008
Practice Location
Authorized Official
- Name
- MR. WILLIAM H LETSOM, P.T.
- Title
- PRESIDENT
- Phone
- (262) 694-3977
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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