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NPI Code Detail

MEDICARE: REHAB CARE

MEDICARE: REHAB CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility993-019WI

General Provider Information

NPI Number : 1497920227
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHAB CARE
Provider Business Mailing Address
First Line : 3904 W ROBERTS ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53208-1843
Country : US
Telephone Number : 414-416-3479
Fax Number :
Provider Business Practice Location Address
First Line : 1414 N PROSPECT AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-3018
Country : US
Telephone Number : 414-277-8854
Fax Number : 414-276-2332
Authorized Official
Title or Position : PHYSICAL THERAPIST ASSISTANT
Name : MRS. BRENDA KAY BRINSON-MCDUFFIE
Credential : AAS
Telephone Number : 414-416-3479
Provider Enumeration Date : 04/23/2008
Last Update Date : 04/23/2008

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Directions to “REHAB CARE ” Practice Location

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