Organization
ADVANCED REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM EISEMAN DPT (OWNER/OPERATOR)
(608) 214-8706
Entity
Organization
Contact information
Practice address
2004 E RIVERSIDE BLVD LOWR LEVEL, LOVES PARK, IL 61111-4856
(608) 214-8706
Mailing address
3280 S OLD 11, ORFORDVILLE, WI 53576-9610
(608) 214-8706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326472192
—
WI
Enumeration date
05/21/2019
Last updated
11/09/2022
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