Organization
DUNELAND REGIONAL REHABILITATION INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETSY SILLECK THIEL PTDPT (PRESIDENT DUNELAND REGIONAL REHABIL)
(219) 696-5519
Entity
Organization
Contact information
Practice address
16382 MORTON PL, LOWELL, IN 46356-1388
(219) 696-5519
Mailing address
16382 MORTON PL, LOWELL, IN 46356-1388
(219) 696-5519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
53000047A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200061430
—
IN
01
—
CH3181
MEDICARE RR
IN
Enumeration date
09/07/2006
Last updated
01/08/2011
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