Organization
GLOBE STAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY M MCCROVITZ PHD (EXECUTIVE DIRECTOR)
(219) 921-5492
Entity
Organization
Contact information
Practice address
935 S IRONWOOD DR, SOUTH BEND, IN 46615-1613
(219) 921-5492
(219) 921-0143
Mailing address
621 BROADWAY, CHESTERTON, IN 46304-2259
(219) 921-5492
(219) 921-0143
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IN
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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