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NPI 1164137931 · on the registry since 2023
Practice
- Address
- 334 S Cherry St
Westfield, IN 46074 - Phone
- (317) 867-0212
- Organisation at this address
- Select Rehabilitation, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana