| Organization Name: | REHAB ARISCES, LLC |
| NPI Number: | 1356485791 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIM MARIE FLECK (CO-OWNER) |
| Mailing Address: | 845 South Main Street Suite 120 Fond Du Lac |
| State: | WI US |
| Postal Code: | 54935 |
| Phone Number: | 9203220447 |
| Fax Number: | 9203221362 |
| NPI Enumeration Date: | 02/19/2007 |
| NPI Last Update Date: | 06/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |