Organization · Type 2 NPI

Southport Rehab Associates, Inc

Rehabilitation Clinic/Center · Kenosha, WI

NPI number 1114929064 Active

Practice location

7201 Green Bay Rd
Kenosha, WI 53142-3522

Fax (262) 694-5648

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Clinic/Center Primary 261QR0400XNone listed

Rehabilitation Clinic/Center: Definition to come...

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About NPI 1114929064

Southport Rehab Associates, Inc's National Provider Identifier is 1114929064, issued on Aug 11, 2005. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Kenosha, WI. The record was last updated on Apr 10, 2008.