Organization
CHOICE PHYSICAL THERAPY SOUTHWEST LLC
Active
Organization
CHOICE PHYSICAL THERAPY SOUTHWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW WAGNER (OWNER)
(260) 797-2572
Entity
Organization
Contact information
Practice address
212 E MAIN ST, NORTH MANCHESTER, IN 46962-1823
(260) 797-2572
Mailing address
6863 HOLLOPETER RD, LEO, IN 46765-9269
(260) 797-2572
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
05/11/2026
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