Organization Name: | GLORY REHABILITATION & CONSULTANCY SERVICES,INC., |
NPI Number: | 1023235793 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FELIX OLUSEGUN ODUSAGA (PRESIDENT) |
Mailing Address: | 9715 Monroe St Crown Point |
State: | IN US |
Postal Code: | 463075452 |
Phone Number: | 2196893390 |
Fax Number: | 2192260938 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05005317A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |