Organization
ENCORE PREAKNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE E OLSEN (VICE PRESIDENT)
(888) 974-7878
Entity
Organization
Contact information
Practice address
825 WESTERN AVE, COLUMBUS, WI 53925-1675
(920) 623-2520
(920) 623-9280
Mailing address
4025 TAMPA RD STE 1106, OLDSMAR, FL 34677-3213
(888) 974-7878
(727) 726-1825
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2017
Last updated
10/18/2017
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