Organization
DEACONESS PROGRESSIVE
Active
Organization
DEACONESS PROGRESSIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MCKINNEY PT (PHYSICAL THERAPIST)
(812) 612-0266
Entity
Organization
Contact information
Practice address
8700A N KENTUCKY AVE, EVANSVILLE, IN 47725-6308
(812) 437-2893
Mailing address
150 N ROSENBERGER AVE, EVANSVILLE, IN 47712-6503
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
05006175A
IN
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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