Southern Rehab Works, Ltd

NPI #1205174638 in Wolf Lake, Illinois

Provider Information

NPI Number
1205174638
Entity Type
Organization
Organization Name
Southern Rehab Works, Ltd
Primary Specialty
Clinic/Center - Rehabilitation
Enumeration Date
Jan 18, 2013
Last Updated
Jan 18, 2013

Practice Location

Address
580 HOOT OWL LN
ZIP Code
62998-1137
Phone
(618) 534-5670

Authorized Official

Name
MRS. STEPHANIE MARIE LAMPORT, MOT,OTR/L
Title
OWNER
Phone
(618) 534-5670

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RehabilitationRehabilitation

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