Organization
ACTRA REHABILITATION ASSOCIATES INC
Active
Other names
Actra Rehabilitation Associates
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S BINSTEIN (EXECUTIVE VICE PRESIDENT)
(610) 644-7824
Entity
Organization
Contact information
Practice address
829 S GREEN BAY RD, RACINE, WI 53406-4058
(262) 635-0191
(262) 635-0205
Mailing address
829 S GREEN BAY RD, STE 105, RACINE, WI 53406-4058
(262) 635-0191
(262) 635-0205
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41789600
—
WI
Enumeration date
03/24/2006
Last updated
06/16/2009
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