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Organization
KINDRED REHAB SERVICES INC
Active
Organization
KINDRED REHAB SERVICES INC
Active
Other names
Bedford Outpatient Therapy Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN A. WEAVER (ASSISTANT SECRETARY)
(502) 596-7300
Entity
Organization
Contact information
Practice address
2137 16TH ST, BEDFORD, IN 47421-3003
(812) 275-5593
(812) 275-5598
Mailing address
2137 16TH ST, BEDFORD, IN 47421-3003
(812) 275-5593
(812) 275-5598
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330128
ANTHEM DEBBY TOTH OT
—
01
—
000000373802
ANTHEM MELINDA WELSCH OT
—
01
—
000000373957
ANTHEM BILL ALLEN PT
—
01
—
12418
SIHO
—
05
—
200660710
—
IN
05
—
200731960
—
IN
Enumeration date
06/13/2006
Last updated
12/10/2015
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