Organization
REHABFOCUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CONSTANCIO RESPICIO MAHINAY VI PT (OWNER)
(812) 549-6512
Entity
Organization
Contact information
Practice address
1250 MAIN ST, #1282, MOUNT VERNON, IN 47620
(812) 549-6512
Mailing address
3325 YALE DR, EVANSVILLE, IN 47711-7305
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IN
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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