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Organization
UNITED THERAPISTS, LLC
Active
Organization
UNITED THERAPISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GODWIN O BIOKORO P.T (PHYSICAL THERAPIST)
(219) 689-3071
Entity
Organization
Contact information
Practice address
3025 E MICHIGAN BLVD, TRAIL CREEK, IN 46360-6522
(219) 221-6331
(219) 221-6694
Mailing address
3025 E MICHIGAN BLVD, TRAIL CREEK, IN 46360-6522
(219) 221-6331
(219) 221-6694
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005175A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200726670 A
FIRST STEPS PROGRAM
IN
Enumeration date
11/05/2006
Last updated
06/18/2008
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