Organization
STATE OF WISCONSIN
Active
Parent organization
CENTRAL WISCONSIN CENTER
Other names
Rehab Technology Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL WISCONSIN CENTER
Authorized official
CATHERINE MURRAY (DIRECTOR)
(608) 301-9229
Entity
Organization
Contact information
Practice address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 301-9337
Mailing address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 301-9337
(608) 301-9388
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265519771
—
WI
Enumeration date
09/22/2009
Last updated
08/21/2015
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