| NPI | 1356837199 |
|---|---|
| Other Name | UNIVERSITY AVE REHABILITATION CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT WAYNE FLANNERY CFO 608-821-4223 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2023-08-01 |