Provider Demographics
NPI:1962668467
Name:ONDREY, RICHARD GEORGE (PT)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:GEORGE
Last Name:ONDREY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 S OLD PATOKA RD
Mailing Address - Street 2:
Mailing Address - City:PATOKA
Mailing Address - State:IN
Mailing Address - Zip Code:47666-9003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:711 S OLD PATOKA RD
Practice Address - Street 2:
Practice Address - City:PATOKA
Practice Address - State:IN
Practice Address - Zip Code:47666-9003
Practice Address - Country:US
Practice Address - Phone:812-779-2212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.001671225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist