Organization
PROSTEP REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY GOODMAN OTR (REGIONAL DIRECTOR OF REHAB)
(920) 740-2747
Entity
Organization
Contact information
Practice address
1401 CHURCHILL ST, WAUPACA, WI 54981-2027
(715) 258-8131
Mailing address
1401 CHURCHILL ST., WAUPACA, WI 54981
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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