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Organization

NORTHCENTRAL INDIANA SPORTS MEDICINE CENTER

Active
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Organization

NORTHCENTRAL INDIANA SPORTS MEDICINE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TODD ALAN REIFF PT (ADMINISTRATOR)
(574) 737-7404
Entity
Organization

Contact information

Practice address
1603 CHASE RD, LOGANSPORT, IN 46947-1538
(574) 737-7404
(574) 737-7503
Mailing address
1603 CHASE RD, LOGANSPORT, IN 46947-1538
(574) 737-7404
(574) 737-7503

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
05/22/2007
Last updated
09/20/2012
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