| In- Home Rehab Southeastern | |
|
102 North State Street, Rochester, WI 53167 | |
| (262) 331-4397 | |
| Not Available |
| Full Name | In- Home Rehab Southeastern |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 102 North State Street, Rochester, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215950696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5627 (Wisconsin) | Primary |
| 225X00000X | Occupational Therapist | 4088026 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| In- Home Rehab Southeastern Po Box 367, Rochester, WI 53167-0367 Ph: () - | In- Home Rehab Southeastern 102 North State Street, Rochester, WI 53167 Ph: (262) 331-4397 |
Debra Foley, Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 N. State Street, Rochester, WI 53167 Phone: 262-331-4397 | |
Eric Johnson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 North State Street, Rochester, WI 53167 Phone: 262-331-4397 | |
Ming Sheng, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 N.state Street, Rochester, WI 53167 Phone: 262-331-4397 |