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Organization
CROSSROADS REHABILITATION CENTER, INC.
Active
Organization
CROSSROADS REHABILITATION CENTER, INC.
Active
Other names
Easter Seals Crossroads
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PATRICK SANDY (PRESIDENT)
(317) 466-2015
Entity
Organization
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
(317) 466-2000
Mailing address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
(317) 466-2000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225400000X
Rehabilitation Practitioner
Primary
—
NULL
225400000X
Rehabilitation Practitioner
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
225XR0403X
Driving and Community Mobility Occupational Therapist
—
NULL
225XR0403X
Driving and Community Mobility Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100462120
—
IN
Enumeration date
07/11/2005
Last updated
07/30/2013
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