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Organization
GREENFIELD REHABILITATION AGENCY, INC.
Active
Organization
GREENFIELD REHABILITATION AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE A BREWER PT, MBA, GCS, RAC-CT (PRESIDENT/OWNER)
(262) 923-7101
Entity
Organization
Contact information
Practice address
3360 GATEWAY RD STE 100, BROOKFIELD, WI 53045-5115
(262) 923-7178
(262) 923-7178
Mailing address
3360 GATEWAY RD STE 100, BROOKFIELD, WI 53045-5115
(262) 923-7101
(262) 923-7178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41805600
—
WI
Enumeration date
08/08/2006
Last updated
01/31/2022
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