Innovative Thearpy Services

NPI #1508034315 in Granger, Indiana

Provider Information

NPI Number: 1508034315
Entity Type: Organization
Organization Name: Innovative Thearpy Services
Primary Specialty: Physical Therapist
Enumeration Date: Feb 14, 2008
Last Updated: Feb 14, 2008

Practice Location

Address: 430 W CLEVELAND RD.
Address 2: B23
City: Granger
State: Indiana
ZIP Code: 46530
Phone: (574) 243-9640

Authorized Official

Name: GLENDA M BROWN
Title: PT
Phone: (574) 255-1712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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