Vidacura Therapies LLC

NPI #1710711163 in Chesterton, Indiana

Provider Information

NPI Number: 1710711163
Entity Type: Organization
Organization Name: Vidacura Therapies LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 28, 2024
Last Updated: Aug 28, 2024

Practice Location

Address: 2300 VILLAGE PT
City: Chesterton
State: Indiana
ZIP Code: 46304-0260
Phone: (765) 210-8228

Authorized Official

Name: LORETO BAYANI, DPT
Title: MEMBER
Phone: (765) 210-8228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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