Organization
REWIRED REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA JEAN DUTTLINGER PT, DPT, MBA (OWNER)
(219) 688-0017
Entity
Organization
Contact information
Practice address
15905 PLAINS RD, NOBLESVILLE, IN 46062-4655
(219) 688-0017
Mailing address
15905 PLAINS RD, NOBLESVILLE, IN 46062-4655
(219) 688-0017
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
05010628A
IN
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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