Organization
PHYSICAL MEDICINE & REHAB OF ECI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT B TAYLOR MD (OWNER)
(765) 521-1594
Entity
Organization
Contact information
Practice address
2200 FOREST RIDGE PKWY, SUITE #240, NEW CASTLE, IN 47362-2943
(765) 521-7385
(765) 521-7394
Mailing address
PO BOX 662, NEW CASTLE, IN 47362-0662
(765) 521-1435
(765) 599-3131
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01041429
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200167340C
—
IN
Enumeration date
10/24/2006
Last updated
05/30/2008
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