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NPI Code Detail

MEDICARE: HEALTHY EXPECTATIONS, INC

MEDICARE: HEALTHY EXPECTATIONS, INC
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/Center05004289AIN

General Provider Information

NPI Number : 1023164423
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY EXPECTATIONS, INC
Provider Business Mailing Address
First Line : 1504 RIVER RUN CT
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-5937
Country : US
Telephone Number : 260-471-6074
Fax Number :
Provider Business Practice Location Address
First Line : 3844 NEW VISION DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1708
Country : US
Telephone Number : 260-471-6074
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. TERESA LOU MACIEJEWSKI
Credential : P.T.
Telephone Number : 260-471-6074
Provider Enumeration Date : 01/26/2007
Last Update Date : 08/22/2020

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