Organization · Type 2 NPI
Deaconess Women's Hospital of Southern In, LLC
Pediatric Physical Therapist · Newburgh, IN
Practice location
4199 Gateway Blvd,, Suite 3800
Newburgh, IN 47630-8940
Fax (812) 842-4226
Mailing address
P.o. Box 637276
Cincinnati, OH 45263-7276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 11-002855-1 (IN) |
| Pediatric Physical Therapist Primary | 2251P0200X | 05008176A (IN) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
About NPI 1023233137
Deaconess Women's Hospital of Southern In, LLC's National Provider Identifier is 1023233137, issued on Apr 16, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Newburgh, IN. The record was last updated on Jun 20, 2011.