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Organization

RACOVI THERAPY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAYMOND CORTES VILLANUEVA PT (OWNER)
(812) 841-9410
Entity
Organization

Contact information

Practice address
8146 BIRCHFIELD DR, INDIANAPOLIS, IN 46268-2895
(812) 841-9410
(317) 755-1773
Mailing address
PO BOX 681401, INDIANAPOLIS, IN 46268-7401
(812) 841-9410
(317) 755-1773

Taxonomy

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

Other

Enumeration date
03/01/2010
Last updated
03/01/2010
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