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NPI Code Detail

MEDICARE: FORCHIS THERAPY LLC

MEDICARE: FORCHIS THERAPY LLC
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 Therapist05003855AIN

General Provider Information

NPI Number : 1932495561
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORCHIS THERAPY LLC
Provider Business Mailing Address
First Line : 10257 TREVINO ST
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-6514
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2010 E COLUMBUS DR
Second Line : SUITE 1A
City : EAST CHICAGO
State : IN
Zip : 46312-2830
Country : US
Telephone Number : 219-779-9451
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : EDWARD ARIRIERI
Credential :
Telephone Number : 219-779-9451
Provider Enumeration Date : 06/22/2011
Last Update Date : 06/22/2011

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Directions to “FORCHIS THERAPY LLC ” Practice Location

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