Doris Walterhouse, PT, DPT | |
655 River Ave, South Bend, IN 46601-3237 | |
(231) 329-5518 | |
Not Available |
Full Name | Doris Walterhouse |
---|---|
Gender | Female |
Speciality | Physical Therapist - Neurology |
Location | 655 River Ave, South Bend, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699536946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251N0400X | Physical Therapist - Neurology | 05013845A (* (Not Available)) | Primary |
Provider Name | Thrive Neuro Therapy, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1700647054 PECOS PAC ID: 1850831850 Enrollment ID: O20240905000662 |
Mailing Address | Practice Location Address |
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Doris Walterhouse, PT, DPT Po Box 233, South Bend, IN 46624-0233 Ph: (231) 329-5518 | Doris Walterhouse, PT, DPT 655 River Ave, South Bend, IN 46601-3237 Ph: (231) 329-5518 |
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