Organization · NPI-2

Accident And Injury Rehab Center, INC

Clinic/Center · Milwaukee, WI

NPI number1194337212
StatusActive
Last updated in NPPESAug 19, 2020

Details

NPI
1194337212
Entity type
Organization (NPI-2)
Legal business name
Accident And Injury Rehab Center, INC
Organization subpart
No
Enumeration date
Aug 19, 2020
Certification date
Aug 19, 2020
Last updated
Aug 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

6114 W Capitol Dr Ste 100-102
Milwaukee, WI 53216-2147

Phone 414-433-0433

Mailing address

Po Box 44398
Racine, WI 53404-7007

Phone 414-433-0433

Authorized official

Kelly George Von-Schilling Worth
Clinic Director
2627707014

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