Organization
PROVIDENCE REHABILITATION SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE TERPSTRA LARSEN P.T. (OWNER)
(219) 796-7273
Entity
Organization
Contact information
Practice address
8926 ARBOR HILL DR, HIGHLAND, IN 46322-2100
(219) 796-7273
(219) 972-2830
Mailing address
8926 ARBOR HILL DR, HIGHLAND, IN 46322-2100
(219) 796-7273
(219) 972-2830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001734A
IN
Other
Enumeration date
04/07/2007
Last updated
06/20/2008
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