Organization
ERGONOMIC HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J COTTON MHS, OTR (CEO)
(574) 256-6704
Entity
Organization
Contact information
Practice address
3640 EDISON LAKES PKWY, SUITE B, MISHAWAKA, IN 46545-3472
(574) 256-6704
(574) 256-2284
Mailing address
15423 ROSCOMMON LN, GRANGER, IN 46530-6280
(574) 273-0851
Taxonomy
Speciality
Code
Description
License number
State
2251E1200X
Ergonomics Physical Therapist
Primary
31000601A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2824963
CIGNA
IN
Enumeration date
01/15/2007
Last updated
08/22/2020
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