Organization
ADVANCED INSTITUTE OF REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI CZERNEJEWSKI MS/CCC (CEO)
(262) 510-6350
Entity
Organization
Contact information
Practice address
5301 S 108TH ST, HALES CORNERS, WI 53130-1332
(414) 586-0036
(414) 586-0046
Mailing address
S75W20437 FIELD DR, MUSKEGO, WI 53150-7400
(262) 510-6350
(866) 594-0037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
368154
WI
Other
Enumeration date
09/07/2012
Last updated
03/29/2013
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