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General NPI Number Information
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NPI Number | 1245351725
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Entity Type | Organization
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Legal Business Name | REDEEMED REHABILITATIVE CARE SERVICES, INCORPORATED
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 05/24/2019
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Provider Practice Location Address
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Address Line | 7870 BROADWAY STE N
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5542
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Country | US
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Telephone | 219-769-1358
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Fax | 219-769-1383
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Provider Business Mailing Address
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Address Line | P.O. BOX 14322
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City | MERRILLVILLE
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State | IN
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Zip | 46411-4322
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Country | US
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Telephone | 219-769-1358
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Fax | 219-769-1383
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OLADOSU ABIOYE
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Credential | DPT
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Telephone | 219-769-1358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05007247A
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License Number State | IN
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