| |
424 W Division Street, Remington, IN 47977 | |
(765) 807-2773 | |
(765) 807-2774 |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 424 W Division Street, Remington, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164939062 | NPI | - | NPPES |
201152530 | Medicaid | IN | |
300082826 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Indiana) | Primary |
225X00000X | Occupational Therapist | (Indiana) | Secondary |
Mailing Address | Practice Location Address |
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Po Box 4699, Lafayette, IN 47903-4699 Ph: (765) 446-5417 | 424 W Division Street, Remington, IN 47977 Ph: (765) 807-2773 |