Healthcare Provider Details

I. General information

NPI: 1346410081
Provider Name (Legal Business Name): REHABTECH DME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2008
Last Update Date: 06/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

568 N INDIANA AVE
CROWN POINT IN
46307-3412
US

IV. Provider business mailing address

440 W BELL CT STE 400
OAK CREEK WI
53154-8335
US

V. Phone/Fax

Practice location:
  • Phone: 219-663-0560
  • Fax: 219-663-0552
Mailing address:
  • Phone: 414-762-1300
  • Fax: 414-762-6484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. REBECCA L TOGLIATTI
Title or Position: OWNER
Credential:
Phone: 414-762-1300