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General NPI Number Information
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NPI Number | 1033887369
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Entity Type | Organization
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Legal Business Name | WOUND THERAPY, LLC
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 235 E HIGH ST
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City | MOORESVILLE
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State | IN
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Zip | 46158-1639
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Country | US
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Telephone | 317-371-8180
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Fax | 800-305-0393
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Provider Business Mailing Address
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Address Line | 235 E HIGH ST
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City | MOORESVILLE
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State | IN
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Zip | 46158-1639
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Country | US
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Telephone | 317-371-8180
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Fax | 800-305-0393
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | APRIL R HINCHMAN
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Credential | PT, DPT, CWS
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Telephone | 317-371-8180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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