Provider Demographics
NPI:1780993709
Name:THERABLE REHABILITATION INC
Entity type:Organization
Organization Name:THERABLE REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:MONROE
Authorized Official - Last Name:WOODSMALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-249-9750
Mailing Address - Street 1:PO BOX 10657
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47801-0657
Mailing Address - Country:US
Mailing Address - Phone:812-249-9750
Mailing Address - Fax:812-299-8484
Practice Address - Street 1:1361 POPLAR ST
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47807-4580
Practice Address - Country:US
Practice Address - Phone:812-249-9750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05001154A225100000X
IN31001472A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty