Basic Information
| Provider Information | |||||||||
| NPI: | 1346410081 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REHABTECH DME | ||||||||
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| Mailing Information | |||||||||
| Address1: | 440 W BELL CT STE 400 | ||||||||
| Address2: | |||||||||
| City: | OAK CREEK | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531548335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4147621300 | ||||||||
| FaxNumber: | 4147626484 | ||||||||
| Practice Location | |||||||||
| Address1: | 568 N INDIANA AVE | ||||||||
| Address2: | |||||||||
| City: | CROWN POINT | ||||||||
| State: | IN | ||||||||
| PostalCode: | 463073412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2196630560 | ||||||||
| FaxNumber: | 2196630552 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/10/2008 | ||||||||
| LastUpdateDate: | 06/18/2010 | ||||||||
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| AuthorizedOfficialLastName: | TOGLIATTI | ||||||||
| AuthorizedOfficialFirstName: | REBECCA | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4147621300 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332BC3200X | N | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.