Abc Therapy Services, LLC

Organization Active NPI Physical Therapist · Granger, IN

NPI 1760622815 · NPPES record last updated Mar 3, 2009

Key facts

NPI
1760622815
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
ABC THERAPY SERVICES, LLC
Practice address
12655 State Road 23
Granger, IN 46530-9641
Phone
(574) 272-2240
Fax
(574) 272-2252
NPI assigned
Mar 3, 2009
Organization subpart
No

Authorized official

Name
Mr. Jose Raymundo Sorio Catral Jr., PT
Title
Managing Member
Phone
(574) 272-2240

National Provider Directory

Locations

12655 State Road 23
Granger, IN 46530
Phone (574) 247-7000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

12655 State Road 23
Granger, IN 46530-9641

Mailing address

12655 Sr 23
Granger, IN 46530-9641
Phone (574) 272-2240

Other identifiers

IdentifierTypeStateIssuer
258440OtherMEDICARE PTAN
200918300 AMedicaidIN

Other providers in Granger, IN

All providers in Granger, IN · Physical Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.