Organization
SYCAMORE SERVICES HENDRICKS CTY ARC IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK G COCKRUM (CEO)
(317) 745-4715
Entity
Organization
Contact information
Practice address
1001 SYCAMORE LN, DANVILLE, IN 46122-1474
(317) 745-4715
Mailing address
PO BOX 369, DANVILLE, IN 46122-0369
(317) 745-4715
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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