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General NPI Number Information
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NPI Number | 1730200411
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Entity Type | Organization
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Legal Business Name | STELLAR REHABILITATION, LLC-HARBOR HOUSE
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5330 CENTURY AVENUE SUITE #1
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City | MIDDLETON
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State | WI
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Zip | 53562
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Country | US
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Telephone | 608-845-2100
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Fax | 608-845-2101
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Provider Business Mailing Address
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Address Line | 1049 N EDGE TRL
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City | VERONA
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State | WI
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Zip | 53593-1942
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Country | US
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Telephone | 608-845-2100
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Fax | 608-845-2101
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. SUSAN ARMSTRONG
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Credential | MPT
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Telephone | 608-845-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9730-024
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3909-026
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2089-154
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License Number State | WI
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