Organization
ULTIMATE REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMEYA RAGHVENDRA DORSATWAR PT (PHYSICAL THERAPIST)
(617) 784-6396
Entity
Organization
Contact information
Practice address
1099 S MAIN ST, APT 330, CROWN POINT, IN 46307-4851
(617) 784-6396
Mailing address
1099 S MAIN ST, APT 330, CROWN POINT, IN 46307-4851
(617) 784-6396
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
05010049A
IN
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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