Organization
JMC PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY K CATANELLA RMC (BILLING MANAGER)
(702) 407-3045
Entity
Organization
Contact information
Practice address
406 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
(812) 320-2242
(812) 332-4562
Mailing address
406 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
(812) 320-2242
(812) 332-4562
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005047A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215100128
INDIV NPI
IN
Enumeration date
03/26/2014
Last updated
03/31/2014
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