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NPI Code Detail

MEDICARE: KATHARINE L GAJ DPT, OCS, COMT, ATC

MEDICARE:   KATHARINE L GAJ  DPT, OCS, COMT, ATC
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
12251X0800XOrthopedic Physical Therapist05006852AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679916506
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHARINE L GAJ DPT, OCS, COMT, ATC
Provider Business Mailing Address
First Line : 3245 HEALTH DR STE 100
Second Line :
City : GRANGER
State : IN
Zip : 46530-1380
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 E JACKSON BLVD STE 150
Second Line :
City : ELKHART
State : IN
Zip : 46516-3513
Country : US
Telephone Number : 574-389-5558
Fax Number : 574-389-5559
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2013
Last Update Date : 03/12/2026

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Directions to “ KATHARINE L GAJ DPT, OCS, COMT, ATC” Practice Location

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