# PHYSICAL MEDICINE & REHABILITATION SPECIALISTS PC

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

## Provider details

- **NPI number:** 1811011521
- **Authorized official:** DR. TODD A GRAHAM MD (OWNER)
- **Authorized official phone:** (574) 247-4444

## Contact information

- **Practice address:** 53760 GENERATIONS DR, SOUTH BEND, IN 46635-1539
- **Practice address phone:** (574) 247-4444
- **Practice address fax:** (574) 243-5555
- **Mailing address:** 53760 GENERATIONS DR, SOUTH BEND, IN 46635-1539
- **Mailing address phone:** (574) 247-4444
- **Mailing address fax:** (574) 243-5555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 50003415A | IN | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 06/22/2010