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Endeavor Therapy Llc
Comprehensive Outpatient Rehabilitation Facility (CORF) in Mequon, Wisconsin
NPI 1699777417

Endeavor Therapy Llc is a Comprehensive Outpatient Rehabilitation Facility (CORF) based in Mequon, WI and is specialized in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Endeavor Therapy Llc practices in Mequon, WI. The NPI Number for Endeavor Therapy Llc is 1699777417 and holds a License No. (Wisconsin).

The current practice location address for Endeavor Therapy Llc is 11649 N Port Washington Rd, Mequon, WI and can be reached out via phone at 262-241-8892 and via fax at 262-241-8894.

Location: 11649 N Port Washington Rd, Mequon, WI, 53092-3460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699777417
Provider Name
Endeavor Therapy Llc
Credential
Provider Entity Type
Organization
Address
11649 N Port Washington Rd, Mequon, WI, 53092-3460
Phone Number
262-241-8892
Fax Number
262-241-8894
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40076000 05 WI
institution
Provider Business Practice Location Address Details
Address
11649 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53092-3460
Phone Number
262-241-8892
Fax Number
262-241-8894
person
Provider Business Mailing Address Details
Address
11649 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53092-3460
Phone Number
262-241-8892
Fax Number
262-241-8894
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy
261QR0401X
License No.
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Definition
Definition to come...
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