Cwc Physical Therapy | |
13839 Amstutz Rd, Leo, IN 46765-9605 | |
(260) 257-8956 | |
(888) 607-1633 |
Full Name | Cwc Physical Therapy |
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Type | Facility |
Speciality | Physical Therapist |
Location | 13839 Amstutz Rd, Leo, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538866066 | NPI | - | NPPES |
05013272A | Other | IN | STATE MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Jarred Thomas Burns |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174080055 PECOS PAC ID: 9537526645 Enrollment ID: I20230922003623 |
Mailing Address | Practice Location Address |
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Cwc Physical Therapy 12812 Coldwater Rd Ste 101, Fort Wayne, IN 46845-9516 Ph: (260) 257-8956 | Cwc Physical Therapy 13839 Amstutz Rd, Leo, IN 46765-9605 Ph: (260) 257-8956 |
Jarred Thomas Burns, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13839 Amstutz Rd, Leo, IN 46765 Phone: 260-257-8956 Fax: 888-607-1633 | |
Mr. Andrew Thomas Wagner, PT ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 6863 Hollopeter Rd, Leo, IN 46765 Phone: 260-797-2572 |