| Pankaj K Tyagi, OTR | |
|
4417 S Hidden Way St, Terre Haute, IN 47802-6602 | |
| (812) 201-1338 | |
| Not Available |
| Full Name | Pankaj K Tyagi |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 4417 S Hidden Way St, Terre Haute, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205886967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 31001448A (Indiana) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1053833657 PECOS PAC ID: 6507832573 Enrollment ID: O20171009003264 |
| Mailing Address | Practice Location Address |
|---|---|
| Pankaj K Tyagi, OTR 4417 S Hidden Way St, Terre Haute, IN 47802-6602 Ph: (812) 201-1338 | Pankaj K Tyagi, OTR 4417 S Hidden Way St, Terre Haute, IN 47802-6602 Ph: (812) 201-1338 |
Mrs. Lorrie Ann Myers, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 E Crossing Blvd, Terre Haute, IN 47802 Phone: 812-299-9900 | |
Hh In Llc Holding Corporation Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1378 S State Road 46 Ste C, Terre Haute, IN 47803 Phone: 812-877-2993 Fax: 812-877-2994 | |
Karyssa Jeanne Nelson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1320 Walnut St, Terre Haute, IN 47807 Phone: 307-660-7801 | |
Tera Dewig, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7400 | |
Patrick C Klos, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1725 N 5th St, Terre Haute, IN 47804 Phone: 812-238-7210 | |
Mrs. Donna Louise Cox, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7362 | |
Mrs. Paulette O Jacinto, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7362 |