Angela Marie Hendrickson in South Bend - Physical Therapy Assistant

Angela Marie Hendrickson - NPI 1184871162

Angela Marie Hendrickson is a Physical Therapy Assistant in South Bend, Indiana. Angela Marie Hendrickson practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Angela Marie Hendrickson is 1184871162. The last update date is 2008-08-21.

Angela Marie Hendrickson's current location address is 52654 Ironwood Rd, South Bend, Indiana. You can contact this provider via phone number 5742778710. The mailing address for Angela Marie Hendrickson is 52654 Ironwood Rd, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Angela Marie Hendrickson
Address 52654 Ironwood Rd, South Bend, Indiana
Phone Number 5742778710
Fax Number
Sole Proprietor Y
Credentials P.T.A.

NPI Number Detail

NPI Number 1184871162
Provider Enumeration Date 2008-08-21
Last Updated Date 2008-08-21

Provider Mailing Address Detail

Address 52654 Ironwood Rd
City South Bend
State Indiana (IN)
Post Code 466351123
Phone Number 5742778710
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 06003619A
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Angela Marie Hendrickson

What is the unique 10-digit identification code assigned to Angela Marie Hendrickson by the Centers for Medicare & Medicaid Services?

The Angela Marie Hendrickson has been issued the NPI (National Provider Identifier) 1184871162, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Angela Marie Hendrickson is located?

The Angela Marie Hendrickson is situated at the following address: 52654 Ironwood Rd, South Bend, IN, 466351123.

What is Angela Marie Hendrickson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Angela Marie Hendrickson's area of specialization is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 225200000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1184871162 to Angela Marie Hendrickson?

The Centers for Medicare & Medicaid Services originally issued the 1184871162 to Angela Marie Hendrickson on 2008-08-21.

When was the information pertaining to Angela Marie Hendrickson most recently updated or revised?

The details related to Angela Marie Hendrickson, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-21.

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