# ULTIMATE REHAB SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396069514
- **Authorized official:** AMEYA RAGHVENDRA DORSATWAR PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (617) 784-6396

## Contact information

- **Practice address:** 1099 S MAIN ST, APT 330, CROWN POINT, IN 46307-4851
- **Practice address phone:** (617) 784-6396
- **Mailing address:** 1099 S MAIN ST, APT 330, CROWN POINT, IN 46307-4851
- **Mailing address phone:** (617) 784-6396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 05010049A | IN | Yes |

## Other

- **Enumeration date:** 03/17/2010
- **Last updated:** 03/17/2010