Organization
PEOPLEFIRST REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN MARIE EVENSON MS CCC SLP (SPEECH THERAPIST)
(920) 222-1240
Entity
Organization
Contact information
Practice address
626 LEXINGTON BLVD, FORT ATKINSON, WI 53538-1397
(920) 222-1240
Mailing address
626 LEXINGTON BLVD, FORT ATKINSON, WI 53538-1397
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42585300
—
WI
Enumeration date
04/16/2008
Last updated
04/16/2008
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