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8233 Wicker Ave, Saint John, IN 46373-8878 | |
(219) 775-6061 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 8233 Wicker Ave, Saint John, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1588918486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 05007959A (Indiana) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Paula A Skurka |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346390358 PECOS PAC ID: 1658311931 Enrollment ID: I20050505000784 |
Provider Name | Ryan J Flipse |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114957933 PECOS PAC ID: 3577525039 Enrollment ID: I20070906000393 |
Mailing Address | Practice Location Address |
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8233 Wicker Ave, Saint John, IN 46373-8878 Ph: (219) 775-6061 | 8233 Wicker Ave, Saint John, IN 46373-8878 Ph: (219) 775-6061 |