Organization Name: | STELLAR REHABILITATION, LLC-WILLOW POINTE |
NPI Number: | 1841311230 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN ARMSTRONG (PHYSICAL THERAPIST) |
Mailing Address: | 1125 N Edge Trl Verona |
State: | WI US |
Postal Code: | 535932021 |
Phone Number: | 6088452100 |
Fax Number: | 6088452101 |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 10/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2089-154 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
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 |