SearchIndianaPhysical Therapy Assistant

Eric Breisch

NPI 1891950309 · on the registry since 2008

Practice

Address
2800 S Dixon Rd
Kokomo, IN 46902
Phone
(765) 455-1111
Organisation at this address
Bloom At Kokomo, Llc
Legacy Healthcare Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-07-23

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