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Contact Information

1ST ADVANTAGE PHYSICAL THERAPY PC
1516 N MAIN ST
CROWN POINT, IN46307-2332
 Phone: 219-226-1500
 Fax: 219-226-0500
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for 1ST ADVANTAGE PHYSICAL THERAPY PC · (Female)

NPI Number 1962685388
Status Active
Credentials
Entity Individual
Enumeration date 12/07/2007
Last updated 01/22/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 05005012A
  • IN Other 000000363591 ANTHEM
  • IN Other P00374932 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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