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Organization
COURTNEY STREET REHAB CLINIC LTD
Active
Organization
COURTNEY STREET REHAB CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY P. GOLDBACH MED, OTR, CHT (OWNER)
(715) 369-7474
Entity
Organization
Contact information
Practice address
203 SCHIEK PLAZA, RHINELANDER, WI 54501
(715) 369-7474
(715) 369-7475
Mailing address
203 SCHIEK PLAZA, PO BOX 1161, RHINELANDER, WI 54501
(715) 369-7474
(715) 369-7475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40547700
—
WI
Enumeration date
01/13/2006
Last updated
06/11/2008
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