Individual
REBECCA MENDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1595 S CALUMET RD STE 3, CHESTERTON, IN 46304-2389
(219) 764-4888
(219) 898-4258
Mailing address
1595 S CALUMET RD STE 3, CHESTERTON, IN 46304-2389
(219) 764-4888
(219) 898-4258
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006535A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200196020A
—
IN
Enumeration date
02/27/2018
Last updated
09/10/2024
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