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3538 Calumet Ave, Valparaiso, IN 46383-2246 | |
(219) 316-7470 | |
(219) 386-2505 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 3538 Calumet Ave, Valparaiso, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750006599 | NPI | - | NPPES |
300078677 | Medicaid | IN |
Provider Name | Jennifer Leigh Bradsky |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407813504 PECOS PAC ID: 9133401755 Enrollment ID: I20170116000531 |
Provider Name | Spardha Sureshchandra Sharma |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710467972 PECOS PAC ID: 3173873965 Enrollment ID: I20180828003122 |
Provider Name | Sivakumar Thirugnana |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457690562 PECOS PAC ID: 5395099659 Enrollment ID: I20181126003643 |
Mailing Address | Practice Location Address |
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2206 Mary Ln, Valparaiso, IN 46383-2358 Ph: (219) 316-7470 | 3538 Calumet Ave, Valparaiso, IN 46383-2246 Ph: (219) 316-7470 |