National Provider Identifier Database

THERAKIDS POTENTIAL
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

THERAKIDS POTENTIAL
130 N WEST ST
CROWN POINT, IN46307-3916
Phone: 219-742-3466
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for THERAKIDS POTENTIAL

NPI Number 1518256684
Legal business name
LBN
THERAKIDS POTENTIAL
Authorized official MARIE HEDGES - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/29/2011
Last updated 03/29/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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