North Eastern Wisconsin Rehabilitation Corporation

NPI #1417017369 in New London, Wisconsin

Provider Information

NPI Number: 1417017369
Entity Type: Organization
Organization Name: North Eastern Wisconsin Rehabilitation Corporation
Primary Specialty: Physical Therapist
Enumeration Date: Dec 11, 2006
Last Updated: Feb 19, 2008

Practice Location

Address: 307 SMITH ST
City: New London
State: Wisconsin
ZIP Code: 54961-1410
Phone: (920) 982-5440

Authorized Official

Name: MRS. REBECCA PARKER, MS, OTR
Title: PRESIDENT
Phone: (920) 982-5440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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