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Organization
TRI-STATE REHAB & WELNESS CENTER, LLC
Active
Organization
TRI-STATE REHAB & WELNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE ACKERMAN D.C. (OWNER)
(812) 673-4947
Entity
Organization
Contact information
Practice address
7125 HWY 66, WADESVILLE, IN 47638-0123
(812) 673-4947
(812) 673-4846
Mailing address
PO BOX 123, WADESVILLE, IN 47638-0123
(812) 673-4947
(812) 673-4846
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/30/2007
Last updated
06/02/2008
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