institution
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. You can also correspond with Southport Rehab Associates, Inc through the mailing address at 7201 GREEN BAY RD, KENOSHA, WI - 53142-3522 (mailing address contact number: 262-694-3977).

Location: 7201 Green Bay Rd, Kenosha, WI, 53142-3522
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
State
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
State
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
License No.
(Wisconsin)
Definition
Definition to come...
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