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NPI 1992857387

NPI 1992857387 : POST REHABILITATION, INC. : KENOSHA, WI

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General NPI Number Information
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    NPI Number           |    1992857387
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    Entity Type          |    Organization 
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    Legal Business Name  |    POST REHABILITATION, INC. 
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Dates
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    Enumeration Date     |    01/17/2007
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    Last Update Date     |    04/20/2008
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Provider Practice Location Address
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    Address Line         |    2047 22ND AVE 
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    City                 |    KENOSHA
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    State                |    WI
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    Zip                  |    53140-4602
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    Country              |    US
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    Telephone            |    262-551-9400
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    Fax                  |    262-551-9416
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Provider Business Mailing Address
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    Address Line         |    2047 22ND AVE 
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    City                 |    KENOSHA
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    State                |    WI
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    Zip                  |    53140-4602
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    Country              |    US
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    Telephone            |    262-551-9400
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    Fax                  |    262-551-9416
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Authorized Official
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    Title or Position    |    PHYSICAL THERAPIST PRESIDENT
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    Name                 |    MS. BONNIE K. BEYER 
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    Credential           |    P.T.
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    Telephone            |    262-551-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    1519-024
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    License Number State |    WI
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