Organization
DYNAMIC REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SATISH DOLLY PHADKE PT (CO OWNER)
(219) 476-0377
Entity
Organization
Contact information
Practice address
2102 E EVANS AVE, #115, VALPARAISO, IN 46383-4096
(219) 476-0377
(219) 476-0388
Mailing address
2102 E EVANS AVE, #115, VALPARAISO, IN 46383-4096
(219) 476-0377
(219) 476-0388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG7971
PALMETTO RR MEDICARE
IN
Enumeration date
12/04/2006
Last updated
08/22/2020
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