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Organization

RX REHABILITATION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK J MEIVES PT (OWNER)
(608) 513-1518
Entity
Organization

Contact information

Practice address
3151 COUNTY ROAD CH, DODGEVILLE, WI 53533-9108
(608) 935-3321
Mailing address
4601 W BLUE MOUNDS RD, BARNEVELD, WI 53507-9720
(608) 513-1518

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
3829024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41219400
WI
Enumeration date
05/12/2008
Last updated
05/12/2008
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