Organization
CORNERSTONE REHABILITATION SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA J GREGORY P.T. (PRESIDENT)
(317) 718-0089
Entity
Organization
Contact information
Practice address
3380 E MAIN ST, DANVILLE, IN 46122-9089
(317) 718-0089
(317) 718-0097
Mailing address
3380 E MAIN ST, DANVILLE, IN 46122-9089
(317) 718-0089
(317) 718-0097
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
53000049A
IN
225XP0200X
Pediatric Occupational Therapist
53000049A
IN
235Z00000X
Speech-Language Pathologist
53000049A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200402020A
—
IN
05
—
200485920A
—
IN
01
—
200716340
FIRST STEPS
IN
Enumeration date
01/25/2007
Last updated
09/29/2011
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