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Organization
CONCEPT THERAPY PROFESSIONAL CORPORATION
Active
Organization
CONCEPT THERAPY PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARKADIUSZ M DEBICKI PT (PRESIDENT/OWNER)
(574) 255-8730
Entity
Organization
Contact information
Practice address
3222 MISHAWAKA AVE, SOUTH BEND, IN 46615-2352
(574) 255-8730
Mailing address
524 E MCKINLEY AVE, SUITE 1, MISHAWAKA, IN 46545-6285
(574) 255-8730
(574) 255-8732
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05005298A
IN
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300037693
—
IN
Enumeration date
11/06/2006
Last updated
12/07/2022
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