Organization
MADISON ORTHOPEDIC REHAB
Active
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
Update your record
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