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Organization
THE CENTER FOR SPORTS & PHYSICAL THERAPY
Active
Organization
THE CENTER FOR SPORTS & PHYSICAL THERAPY
Active
Other names
The Center Group
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PURDOM (ADMINISTRATOR)
(765) 674-4455
Entity
Organization
Contact information
Practice address
4411 S ADAMS ST, MARION, IN 46953-5349
(765) 674-4455
(765) 674-3577
Mailing address
4411 S ADAMS ST, MARION, IN 46953-5349
(765) 674-4455
(765) 674-3577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IN
225X00000X
Occupational Therapist
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124000A
—
IN
05
—
100124000B
—
IN
05
—
100124000C
—
IN
01
—
129137500
US DEPT OF LABOR
IN
01
—
160774
IN CHILDREN SPECIAL HEALT
IN
Enumeration date
03/24/2007
Last updated
07/29/2013
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