Organization
HOOSIER PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FELIX BARILE D.C.,P.T. (CO-OWNER)
(260) 420-4400
Entity
Organization
Contact information
Practice address
3030 LAKE AVE, SUITE 26, FORT WAYNE, IN 46805-5428
(260) 420-4400
(260) 420-4448
Mailing address
PO BOX 350034, TOLEDO, OH 43635-0034
(260) 420-4400
(260) 420-4448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
53000059A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200250170A
—
IN
05
—
200250170B
—
IN
Enumeration date
08/05/2006
Last updated
11/16/2016
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