NPI 1003165804

Advanced Institute of Rehabilitation Services LLC

Organisation Physical Therapist Hales Corners, WI

Practice location

Address: 5301 S 108th St, Hales Corners, WI 53130-1332
Phone: (414) 586-0036
Fax: (414) 586-0046
Mailing address: S75w20437 Field Dr, Muskego, WI 53150-7400

Authorised official

Name: Jodi Czernejewski
Title: Ceo
Phone: (262) 510-6350

Registered specialties (3)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 368154 (WI)

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Registry record

NPI: 1003165804
Entity type: Organization
NPI issued: 7 Sep 2012
Record last updated: 29 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.