SOUTHPORT REHAB ASSOCIATES, INC

KENOSHA, WI
NPI1114929064
Entity TypeOrganization
Authorized ContactWILLIAM H LETSOM
President
262-694-3977
Organization Subpart ?No
Primary Taxonomy261QR0400X Clinic/Center, Rehabilitation
Enumeration Date2005-08-11
Last Update Date2008-04-10
Business Address
SOUTHPORT REHAB ASSOCIATES, INC
7201 GREEN BAY RD
KENOSHA, WI 53142-3522
Phone number: 262-694-3977
Mailing Address
SOUTHPORT REHAB ASSOCIATES, INC
7201 GREEN BAY RD
KENOSHA, WI 53142-3522
Phone number: 262-694-3977