Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. THERESA LYNN PETRUSKA, MSW, LSW
Active Sole ProprietorMRS. THERESA LYNN PETRUSKA, MSW, LSW is a In Home Supportive Care Agency healthcare provider located in GARY, Indiana. NPI 1922476605 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · GARY, IN
Registration Details
- NPI Number
- 1922476605
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2015 (10.740107152422 yrs)
- Last Updated
- Sep 11, 2015
- License
-
33007071A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4795 BROADWAYSUITE AGARY, IN, 464092403Browse IN providers · Browse ZIP 46409
- Phone
- 2199806217
- Fax
- 2199856772
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Other In Home Supportive Care Agency Providers in GARY, IN
| Name | Credential | NPI |
|---|---|---|
| AMANDA ROBINSON | — | 1861200560 |
| ANDREA HOOKER | — | 1386458693 |
| ANDREA JOHNSON | — | 1851252472 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.