| NPI | 1104073618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADY ELMALH P.T. 219-308-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070009472) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |