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Organization
WAYNE REHAB LLC
Active
Organization
WAYNE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED WAYNE (MEMBER)
(219) 510-2256
Entity
Organization
Contact information
Practice address
4005 LANCASTER DR, VALPARAISO, IN 46383-1953
(219) 510-2256
Mailing address
PO BOX 1702, VALPARAISO, IN 46384-1702
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/03/2019
Last updated
07/24/2023
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