Organization
THERAPRO LLC
Active
Other names
TheraPro
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE W. DYSERT OT (OCCUPATIONAL THERAPIST)
(812) 639-6235
Entity
Organization
Contact information
Practice address
306 1/2 MAIN STREET, JASPER, IN 47546
(812) 639-6235
Mailing address
1409 PARK ST, JASPER, IN 47546-2007
(812) 639-6235
(707) 929-2359
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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