Basic Information
| Provider Information | |||||||||
| NPI: | 1396900767 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REHABTECH INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 440 W BELL CT | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | OAK CREEK | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531548335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4147621300 | ||||||||
| FaxNumber: | 4147628225 | ||||||||
| Practice Location | |||||||||
| Address1: | 302 EDMUND ST | ||||||||
| Address2: | |||||||||
| City: | EAST PEORIA | ||||||||
| State: | IL | ||||||||
| PostalCode: | 616112320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3096915805 | ||||||||
| FaxNumber: | 3096919560 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2008 | ||||||||
| LastUpdateDate: | 04/30/2009 | ||||||||
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| AuthorizedOfficialLastName: | TOGLIATTI | ||||||||
| AuthorizedOfficialFirstName: | REBECCA | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | C E O | ||||||||
| 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 | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.