| NPI | 1104239763 |
|---|---|
| Former Legal Business Name | SOUTHLAKE REHAB LLC |
| Entity Type | Organization |
| Authorized Contact | RANI KRIPLANI PT 219-525-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 251E00000X Home Health |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2019-09-09 |