| NPI | 1053864868 |
|---|---|
| Doing Business As | BEACON PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY P COSTELLO CFO 574-647-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |