Organization
INTEGRATED REHABILITATION INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. UJWALA PURANIK PURANIK (PRACTICE ADMINISTRATOR)
(219) 326-7246
Entity
Organization
Contact information
Practice address
504 LEGACY PLZ W, LA PORTE, IN 46350-5254
(219) 326-7246
(219) 326-7234
Mailing address
504 LEGACY PLZ W, LA PORTE, IN 46350-5254
(219) 326-7246
(219) 326-7234
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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