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Organization
CORNERSTONE PEDIATRIC REHABILITATION SERVICES
Active
Organization
CORNERSTONE PEDIATRIC REHABILITATION SERVICES
Active
Parent organization
SYCAMORE REHABILITATION SERVICES HENDRICKS CO ARC INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SYCAMORE REHABILITATION SERVICES HENDRICKS CO ARC INC
Authorized official
MR. PATRICK G COCKRUM (CEO)
(317) 745-4715
Entity
Organization
Contact information
Practice address
3380 E MAIN ST, DANVILLE, IN 46122-9089
(317) 718-0089
(317) 718-0089
Mailing address
3380 E MAIN ST, DANVILLE, IN 46122-9089
(317) 718-0089
(317) 718-0089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
222Q00000X
Developmental Therapist
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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