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Organization
NEURO ADVANTAGE REHABILITATION, LLC
Active
Organization
NEURO ADVANTAGE REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH OLLEY OTR (OWNER)
(262) 497-8099
Entity
Organization
Contact information
Practice address
13200 GLOBE DR STE 206, MOUNT PLEASANT, WI 53177-1615
(262) 497-8099
Mailing address
7 CEDARWOOD CT, RACINE, WI 53402-2603
(262) 497-8099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881346609
—
WI
Enumeration date
01/24/2022
Last updated
02/24/2022
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