Organization
GL REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANLEY HAMILTON M.S. (OCCUPATIONAL THERAPIST)
(608) 217-5460
Entity
Organization
Contact information
Practice address
2620 WAUNONA WAY, MADISON, WI 53713-1525
(608) 223-1452
Mailing address
2620 WAUNONA WAY, MADISON, WI 53713-1525
(608) 223-1452
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4623-026
WI
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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