Organization
DUPONT PHYSICAL THERAPY INC
Active
Other names
Achieve Physical Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
ABBY BUENCONSEJO OTR (DIRECTOR/MANAGER)
(260) 489-9533
Entity
Organization
Contact information
Practice address
10351 DAWSONS CREEK BLVD, SUITE H, FORT WAYNE, IN 46825-1904
(260) 489-9533
(260) 497-9088
Mailing address
10351 DAWSONS CREEK BLVD, SUITE H, FORT WAYNE, IN 46825-1904
(260) 489-9533
(260) 497-9088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
IN
235Z00000X
Speech-Language Pathologist
—
IN
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/05/2009
Last updated
01/17/2013
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