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Organization

BACK IN ACTION REHABILITATION, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON WUNSCH (OFFICE MANAGER)
(920) 922-7776
Entity
Organization

Contact information

Practice address
103 S PIONEER RD # 100, FOND DU LAC, WI 54935-3871
(920) 922-7776
(920) 922-2938
Mailing address
103 S PIONEER RD # 100, FOND DU LAC, WI 54935-3871
(920) 922-7776
(920) 922-2938

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40416300
WI
Enumeration date
07/06/2006
Last updated
09/11/2025
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