# GL REHABILITATION

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

## Provider details

- **NPI number:** 1063678928
- **Authorized official:** SHANLEY HAMILTON M.S. (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (608) 217-5460

## Contact information

- **Practice address:** 2620 WAUNONA WAY, MADISON, WI 53713-1525
- **Practice address phone:** (608) 223-1452
- **Mailing address:** 2620 WAUNONA WAY, MADISON, WI 53713-1525
- **Mailing address phone:** (608) 223-1452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 4623-026 | WI | Yes |

## Other

- **Enumeration date:** 07/31/2008
- **Last updated:** 07/31/2008
