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 |