Organization
COLUMN REHAB SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANTHONY GILLIS (PRESIDENT)
(262) 227-8541
Entity
Organization
Contact information
Practice address
15350 W NATIONAL AVE STE 102-219, NEW BERLIN, WI 53151-5158
(262) 227-8541
Mailing address
15350 W NATIONAL AVE STE 102, NEW BERLIN, WI 53151-5158
(262) 227-8541
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41227400
—
WI
Enumeration date
01/03/2007
Last updated
06/29/2023
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