Organization
INNOVATION THERAPY, LLC
Active
Other names
Innovation Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIA HAWTHORNE MSOT, OTR (OWNER, OCCUPATIONAL THERAPIST)
(812) 698-5422
Entity
Organization
Contact information
Practice address
102 E VAN TREES ST, WASHINGTON, IN 47501-2943
(812) 698-5422
(877) 389-9006
Mailing address
15532 US HIGHWAY 231, LOOGOOTEE, IN 47553-4942
(812) 709-9129
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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