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NPI Code Detail

MEDICARE: MS. BARBARA THOMPSON ROHE P.T.

MEDICARE: MS. BARBARA THOMPSON ROHE P.T.
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 Therapist05001311AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1650020307OTHERINRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2000000108534OTHERINBLUE CROSS, BLUE SHIELD

General Provider Information

NPI Number : 1245361351
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA THOMPSON ROHE P.T.
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 181 DEANNA DR STE C
Second Line :
City : LOWELL
State : IN
Zip : 46356-2402
Country : US
Telephone Number : 219-696-0988
Fax Number : 219-696-0989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 12/19/2014

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