OrganizationActive
21st Century Total Wellness
NPI 1639218910 · Occupational Therapy Assistant · Merrillville, IN
Provider details
- NPI number
- 1639218910
- Entity type
- Organization
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Edgar Prater, President(219) 756-4695
- License
- 32000255A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
501 W 84th Dr Ste 1
Merrillville, IN 46410-7013
Phone: (219) 756-4695
Fax: (219) 793-9629
Approximate (ZIP-level) locationGet directions
Mailing address
501 W 84th Dr Ste 1
Merrillville, IN 46410-7013
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.