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NPI Code Detail

MEDICARE: SENIOR OUTPATIENT SERVICES

MEDICARE: SENIOR OUTPATIENT SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist
2235Z00000XSpeech-Language Pathologist
3251E00000XHome Health Agency
4225X00000XOccupational Therapist

General Provider Information

NPI Number : 1750050977
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR OUTPATIENT SERVICES
Provider Business Mailing Address
First Line : 1220 E JACKSON BLVD
Second Line :
City : ELKHART
State : IN
Zip : 46516-4419
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1220 E JACKSON BLVD
Second Line :
City : ELKHART
State : IN
Zip : 46516-4419
Country : US
Telephone Number : 574-333-9747
Fax Number :
Authorized Official
Title or Position : OCCUPATIONAL THERAPIST
Name : MARIAN KATHERINE GARTEE
Credential : MSOTR
Telephone Number : 574-333-9747
Provider Enumeration Date : 09/10/2021
Last Update Date : 08/05/2024

Similar Medicare Providers

1568618478 — MARIAN KATHERINE GARTEE MSOTR
Practice Location Address:
1220 E JACKSON BLVD
ELKHART, IN
46516-4419
Practice Phone: 574-333-9747
Practice Fax: 574-367-2369
1407571193 — CARRIE APPLEGATE OTR
Practice Location Address:
1220 E JACKSON BLVD
ELKHART, IN
46516-4419
Practice Phone: 574-333-9747
Practice Fax: 574-367-2369
1336849108 — MARY HAY
Practice Location Address:
1220 E JACKSON BLVD
ELKHART, IN
46516-4419
Practice Phone: 574-333-9747
Practice Fax: 574-367-2369
1982385423 — KRISTEN FRANK PT
Practice Location Address:
1220 E JACKSON BLVD
ELKHART, IN
46516-4419
Practice Phone: 574-333-9747
Practice Fax:
1689520884 — LAUREN LUISA VINCENT
Practice Location Address:
505 S 3RD ST
ELKHART, IN
46516-3252
Practice Phone: 574-359-6796
Practice Fax:
1972459097 — AHUNYOI THOMAS
Practice Location Address:
505 S 3RD ST
ELKHART, IN
46516-3252
Practice Phone: 574-359-6796
Practice Fax:

Directions to “SENIOR OUTPATIENT SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.