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Southport Rehab Associates, Inc
Rehabilitation Clinic/Center in Kenosha, Wisconsin
NPI 1114929064

Southport Rehab Associates, Inc is a Rehabilitation Clinic/Center based in Kenosha, WI and is specialized in Rehabilitation. Southport Rehab Associates, Inc practices in Kenosha, WI. The NPI Number for Southport Rehab Associates, Inc is 1114929064 and holds a License No. (Wisconsin).

The current practice location address for Southport Rehab Associates, Inc is 7201 Green Bay Rd, Kenosha, WI and can be reached out via phone at 262-694-3977 and via fax at 262-694-5648.

Location: 7201 Green Bay Rd, Kenosha, WI, 53142-3522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114929064
Provider Name
Southport Rehab Associates, Inc
Credential
Provider Entity Type
Organization
Address
7201 Green Bay Rd, Kenosha, WI, 53142-3522
Phone Number
262-694-3977
Fax Number
262-694-5648
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41695100 05 WI
41811000 05 WI
institution
Provider Business Practice Location Address Details
Address
7201 Green Bay Rd
City
Kenosha
State
Wisconsin
Zip
53142-3522
Phone Number
262-694-3977
Fax Number
262-694-5648
person
Provider Business Mailing Address Details
Address
7201 Green Bay Rd
City
Kenosha
State
Wisconsin
Zip
53142-3522
Phone Number
262-694-3977
Fax Number
262-694-5648
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation
Taxonomy
261QR0400X
License No.
(Wisconsin)
Definition
Definition to come...
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