Provider Demographics
NPI:1639947393
Name:HOOSIER REHABILITATION SPECIALISTS
Entity Type:Organization
Organization Name:HOOSIER REHABILITATION SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABHISHEK
Authorized Official - Middle Name:
Authorized Official - Last Name:REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:269-447-5137
Mailing Address - Street 1:4350 CHAPEL HILL CT
Mailing Address - Street 2:
Mailing Address - City:BARGERSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46106-8021
Mailing Address - Country:US
Mailing Address - Phone:269-447-5137
Mailing Address - Fax:
Practice Address - Street 1:4350 CHAPEL HILL CT
Practice Address - Street 2:
Practice Address - City:BARGERSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46106-8021
Practice Address - Country:US
Practice Address - Phone:269-447-5137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty