Hephzibah Sudhakar in Galesburg - Physical Therapist

Hephzibah Sudhakar - NPI 1992705842

Hephzibah Sudhakar is a Physical Therapist in Galesburg, Illinois. Hephzibah Sudhakar practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Hephzibah Sudhakar is 1992705842. The last update date is 2007-07-08.

Hephzibah Sudhakar's current location address is 765 N Kellogg St, Galesburg, Illinois. You can contact this provider via phone number 3093433434 and fax number 3093433456. The mailing address for Hephzibah Sudhakar is 765 N Kellogg St, Galesburg, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Hephzibah Sudhakar
Address 765 N Kellogg St, Galesburg, Illinois
Phone Number 3093433434
Fax Number 3093433456
Sole Proprietor X
Credentials PT

NPI Number Detail

NPI Number 1992705842
Provider Enumeration Date 2005-07-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 765 N Kellogg St
City Galesburg
State Illinois (IL)
Post Code 614012875
Phone Number 3093433434
Fax Number 3093433456

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
327900119001 IL --

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FAQs about Hephzibah Sudhakar

What is the unique 10-digit identifier code issued to Hephzibah Sudhakar by the Centers for Medicare & Medicaid Services?

The Hephzibah Sudhakar has been assigned the NPI (National Provider Identifier) 1992705842 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Hephzibah Sudhakar is physically located?

The Hephzibah Sudhakar is situated at the following address: 765 N Kellogg St, Galesburg, IL 614012875.

What is the Hephzibah Sudhakar's specialty and taxonomy code?

The Hephzibah Sudhakar's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1992705842 to Hephzibah Sudhakar?

The Centers for Medicare & Medicaid Services originally issued the 1992705842 to Hephzibah Sudhakar on 2005-07-21.

When was the information pertaining to Hephzibah Sudhakar most recently updated or revised?

The details related to Hephzibah Sudhakar, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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