Organization
ACTRA REHABILITATION ASSOCIATES INC
Active
Other names
NovaCare Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DUGGAN (CHIEF LEGAL OFFICER)
(717) 972-1100
Entity
Organization
Contact information
Practice address
525 E DIVISION ST, SUITE 104, FOND DU LAC, WI 54935-3747
(920) 923-6676
(920) 923-9020
Mailing address
525 E DIVISION ST STE 104, FOND DU LAC, WI 54935-3747
(920) 923-6676
(920) 923-9020
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41790300
—
WI
Enumeration date
02/21/2006
Last updated
10/20/2025
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