| NPI | 1881927812 |
|---|---|
| Former Legal Business Name | COURTNEY STREET REHAB CLINIC |
| Entity Type | Organization |
| Authorized Contact | GAIL A WEINAND Owner 715-369-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WI 225x00000x) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2010-01-12 |