Organization
BACK IN ACTION REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON WUNSCH (OFFICE MANAGER)
(920) 922-7776
Entity
Organization
Contact information
Practice address
1401 MILWAUKEE DR, NEW HOLSTEIN, WI 53061
(920) 898-4440
Mailing address
103 S PIONEER RD # 100, FOND DU LAC, WI 54935-3871
(920) 922-7776
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
05/31/2007
Last updated
09/11/2025
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