Basic Information
Provider Information
NPI: 1750546123
EntityType: 2
ReplacementNPI:  
OrganizationName: REHABTECH INC.
LastName:  
FirstName:  
MiddleName:  
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Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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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: 7142 UNIVERSITY AVE NE
Address2:  
City: FRIDLEY
State: MN
PostalCode: 554323100
CountryCode: US
TelephoneNumber: 7635719176
FaxNumber: 7635719264
Other Information
ProviderEnumerationDate: 07/24/2008
LastUpdateDate: 04/30/2009
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: TOGLIATTI
AuthorizedOfficialFirstName: REBECCA
AuthorizedOfficialMiddleName: L
AuthorizedOfficialTitleorPosition: C.E.O.
AuthorizedOfficialTelephone: 4147621300
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
332B00000X  Y SuppliersDurable Medical Equipment & Medical Supplies 

No ID Information.


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