Organization
REHAB SPECIALISTS OUTPATIENT LLC
Active
Other names
AgeSTRONG Capitol Lakes
Organization subpart
No
Provider details
NPI number
Authorized official
STACI TONE (CONTROLLER)
(971) 206-5125
Entity
Organization
Contact information
Practice address
333 W MAIN ST, MADISON, WI 53703-2777
(971) 206-5100
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(206) 971-5174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
02/19/2024
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