Organization
LAFREE PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EDWARD LAFREE (OWNER)
(877) 485-3394
Entity
Organization
Contact information
Practice address
3171 E CENTER STREET EXT, WARSAW, IN 46582-3901
(877) 485-3394
(574) 941-2206
Mailing address
3171 E CENTER STREET EXT, WARSAW, IN 46582-3901
(877) 485-3394
(574) 941-2206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
53000121A
IN
225X00000X
Occupational Therapist
53000121A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53000121A
INDIANA STATE LICENSE #
IN
Enumeration date
08/05/2010
Last updated
08/05/2010
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