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Organization

MADISON ORTHOPEDIC REHAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE OVERPECK DPT (OWNER)
(812) 265-8226
Entity
Organization

Contact information

Practice address
219 CLIFTY DR, MADISON, IN 47250-1603
(812) 265-8228
(812) 265-8227
Mailing address
219 CLIFTY DR, MADISON, IN 47250-1603
(812) 265-8228
(812) 265-8227

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300008207
IN
Enumeration date
10/25/2018
Last updated
11/27/2019
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