Organization
EXTRAORDINARY REHAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAUREEN HABIB DPT, MHS (MANAGER)
(219) 308-2265
Entity
Organization
Contact information
Practice address
325 GLASTONBURY ST, MUNSTER, IN 46321-9124
(219) 308-2265
(219) 934-9102
Mailing address
325 GLASTONBURY ST, MUNSTER, IN 46321-9124
(219) 308-2265
(219) 934-9102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003716A
IN
Other
Enumeration date
10/19/2006
Last updated
09/17/2008
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