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 |