Organization
INCREMEDICAL, LLC
Active
Other names
Leap Rehabilitation and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARSHALL (BILLING COORDINATOR)
(219) 365-6559
Entity
Organization
Contact information
Practice address
8261 WICKER AVE, SAINT JOHN, IN 46373-8878
(219) 365-1133
(219) 365-7703
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(219) 365-6560
(219) 365-7703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
N/A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200494630A
—
IN
Enumeration date
05/19/2006
Last updated
11/04/2009
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