# SENIOR OUTPATIENT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750050977
- **Authorized official:** MARIAN KATHERINE GARTEE MSOTR (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (574) 333-9747

## Contact information

- **Practice address:** 1220 E JACKSON BLVD, ELKHART, IN 46516-4419
- **Practice address phone:** (574) 333-9747
- **Mailing address:** 1220 E JACKSON BLVD, ELKHART, IN 46516-4419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 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