Organization
REHABPRO HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERENCE PADRIQUE PT (ADMINISTRATOR)
(260) 580-1350
Entity
Organization
Contact information
Practice address
324 FOX ORCHARD RUN, FORT WAYNE, IN 46825-6577
(260) 580-1350
(260) 490-7690
Mailing address
324 FOX ORCHARD RUN, FORT WAYNE, IN 46825-6577
(260) 580-1350
(260) 490-7690
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
05008247A
IN
Other
Enumeration date
03/20/2011
Last updated
03/20/2011
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