Organization
BETHEL REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BENEDICTA BOSEDE OHIANI-JEGEDE PT (PHYSICAL THERAPIST)
(219) 980-2774
Entity
Organization
Contact information
Practice address
3111 W 60TH DR, MERRILLVILLE, IN 46410-2226
(219) 980-2774
(219) 980-2779
Mailing address
3111 W 60TH DR, MERRILLVILLE, IN 46410-2226
(219) 980-2774
(219) 980-2779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005347A
IN
Other
Enumeration date
10/14/2006
Last updated
08/22/2020
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