Organization
CORNERSTONE PEDIATRIC REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA GREGORY (OWNER)
(317) 718-0089
Entity
Organization
Contact information
Practice address
3380 E MAIN ST, DANVILLE, IN 46122-9089
(317) 718-0097
Mailing address
3380 E MAIN ST, DANVILLE, IN 46122-9089
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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