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NPI Code Detail

MEDICARE: REHAB THERAPEUTICS, INC

MEDICARE: REHAB THERAPEUTICS, 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
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1841502093
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHAB THERAPEUTICS, INC
Provider Business Mailing Address
First Line : 12712 MARSH LANDING PKWY
Second Line :
City : CEDAR LAKE
State : IN
Zip : 46303-8552
Country : US
Telephone Number : 219-374-6117
Fax Number : 219-374-6117
Provider Business Practice Location Address
First Line : 12712 MARSH LANDING PKWY
Second Line :
City : CEDAR LAKE
State : IN
Zip : 46303-8552
Country : US
Telephone Number : 219-374-6117
Fax Number : 219-374-6117
Authorized Official
Title or Position : LEAD SPEECH PATHOLOGIST
Name : MRS. TARA BEILKE
Credential : MHS,CCC/SLP
Telephone Number : 219-374-6117
Provider Enumeration Date : 07/03/2010
Last Update Date : 07/03/2010

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Directions to “REHAB THERAPEUTICS, INC ” Practice Location

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