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Organization
SENIOR OUTPATIENT SERVICES
Active
Organization
SENIOR OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN KATHERINE GARTEE MSOTR (OCCUPATIONAL THERAPIST)
(574) 333-9747
Entity
Organization
Contact information
Practice address
1220 E JACKSON BLVD, ELKHART, IN 46516-4419
(574) 333-9747
Mailing address
1220 E JACKSON BLVD, ELKHART, IN 46516-4419
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
—
NULL
Other
Enumeration date
09/10/2021
Last updated
08/05/2024
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