Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Other names
Physiotherapy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAYNE FLECK POOL (CHIEF COMPLIANCE OFFICER)
(469) 467-8705
Entity
Organization
Contact information
Practice address
1234 E DUPONT RD, #7, FORT WAYNE, IN 46825-1545
(260) 490-0940
(260) 490-5063
Mailing address
665 PHILADELPHIA ST, INDIANA, PA 15701-3941
(724) 465-3496
(215) 413-4682
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175000
BLUE CROSS BLUE SHEILD
IN
05
—
100133720W
—
IN
Enumeration date
02/28/2007
Last updated
06/18/2009
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