Organization
ALL KIDS CAN THERAPY SERVICES LLC
Active
Other names
Madison Orthopedic Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE OVERPECK PT, DPT (PHYSICAL THERAPIST)
(812) 265-8226
Entity
Organization
Contact information
Practice address
2420 WILSON AVE, MADISON, IN 47250
(812) 265-8226
(812) 265-8227
Mailing address
2420 WILSON AVE, MADISON, IN 47250-2135
(812) 265-8226
(812) 265-8227
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200996250
—
IN
05
—
300008207
—
IN
Enumeration date
07/24/2010
Last updated
06/15/2018
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