Organization
DUPONT PHYSICAL THERAPY INC
Active
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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