# ADVANCED INSTITUTE OF REHABILITATION SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003165804
- **Authorized official:** JODI CZERNEJEWSKI MS/CCC (CEO)
- **Authorized official phone:** (262) 510-6350

## Contact information

- **Practice address:** 5301 S 108TH ST, HALES CORNERS, WI 53130-1332
- **Practice address phone:** (414) 586-0036
- **Practice address fax:** (414) 586-0046
- **Mailing address:** S75W20437 FIELD DR, MUSKEGO, WI 53150-7400
- **Mailing address phone:** (262) 510-6350
- **Mailing address fax:** (866) 594-0037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | 368154 | WI | — |

## Other

- **Enumeration date:** 09/07/2012
- **Last updated:** 03/29/2013