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General NPI Number Information
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NPI Number | 1700703642
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Entity Type | Organization
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Legal Business Name | KINBRIDGE REHABILITATION SERVICES, LLC
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 711 E 10TH ST N
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City | LADYSMITH
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State | WI
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Zip | 54848-2523
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Country | US
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Telephone | 903-508-9696
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Fax |
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Provider Business Mailing Address
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Address Line | 2809 E HAMILTON AVE UNIT 2136
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City | EAU CLAIRE
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State | WI
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Zip | 54701-6863
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Country | US
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Telephone | 903-508-9696
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SAMANTHA MINTEN
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Credential | OTR/L
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Telephone | 903-508-9696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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