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NPI Code Detail

MEDICARE: EXCEL PHYSICAL THERAPY P.C.

MEDICARE: EXCEL PHYSICAL THERAPY P.C.
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
1261QP2000XPhysical Therapy Clinic/CenterIN

General Provider Information

NPI Number : 1750477873
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXCEL PHYSICAL THERAPY P.C.
Provider Business Mailing Address
First Line : 7231 JEFFREY ST
Second Line :
City : SCHERERVILLE
State : IN
Zip : 46375-3512
Country : US
Telephone Number : 219-670-4288
Fax Number : 219-397-7771
Provider Business Practice Location Address
First Line : 523 W CHICAGO AVE
Second Line :
City : EAST CHICAGO
State : IN
Zip : 46312-3206
Country : US
Telephone Number : 219-397-7771
Fax Number : 219-397-7771
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : MS. AMIRA FAIZANA MOHAMMED
Credential :
Telephone Number : 219-670-4288
Provider Enumeration Date : 10/05/2006
Last Update Date : 08/22/2020

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Directions to “EXCEL PHYSICAL THERAPY P.C. ” Practice Location

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