Organization
KINDRED REHAB SERVICES INC
Active
Other names
Bedford Outpatient Therapy Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN A. WEAVER (ASSISTANT SECRETARY)
(502) 596-7300
Entity
Organization
Contact information
Practice address
2137 16TH ST, BEDFORD, IN 47421-3003
(812) 275-5593
(812) 275-5598
Mailing address
2137 16TH ST, BEDFORD, IN 47421-3003
(812) 275-5593
(812) 275-5598
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330128
ANTHEM DEBBY TOTH OT
—
01
—
000000373802
ANTHEM MELINDA WELSCH OT
—
01
—
000000373957
ANTHEM BILL ALLEN PT
—
01
—
12418
SIHO
—
05
—
200660710
—
IN
05
—
200731960
—
IN
Enumeration date
06/13/2006
Last updated
12/10/2015
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