Organization
COURTNEY STREET REHAB CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY P. GOLDBACH MED, OTR, CHT (OWNER)
(715) 369-7474
Entity
Organization
Contact information
Practice address
203 SCHIEK PLAZA, RHINELANDER, WI 54501
(715) 369-7474
(715) 369-7475
Mailing address
203 SCHIEK PLAZA, PO BOX 1161, RHINELANDER, WI 54501
(715) 369-7474
(715) 369-7475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40547700
—
WI
Enumeration date
01/13/2006
Last updated
06/11/2008
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