Organization
THRIVE NEURO THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS E WALTERHOUSE PT, DPT (PHYSICAL THERAPIST)
(231) 329-5518
Entity
Organization
Contact information
Practice address
655 RIVER AVE, SOUTH BEND, IN 46601-3237
(231) 329-5518
(574) 381-5414
Mailing address
PO BOX 233, SOUTH BEND, IN 46624-0233
(231) 329-5518
(574) 381-5414
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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