Provider Demographics
NPI:1609854223
Name:CELADINA, MARIA FELIPA JOMAQUIO (RPT)
Entity Type:Individual
Prefix:MRS
First Name:MARIA FELIPA
Middle Name:JOMAQUIO
Last Name:CELADINA
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:MA FELIPA
Other - Middle Name:JUMAQUIO
Other - Last Name:CELADINA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPT
Mailing Address - Street 1:5214 S EAST ST
Mailing Address - Street 2:BUILDING D STE 1
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227
Mailing Address - Country:US
Mailing Address - Phone:800-486-4449
Mailing Address - Fax:317-780-3745
Practice Address - Street 1:5214 S EAST ST
Practice Address - Street 2:BUILDING D STE 1 HTS OUTPATIENT THERAPY SERVICES
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227
Practice Address - Country:US
Practice Address - Phone:800-486-4449
Practice Address - Fax:317-780-3745
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05008104A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist