| NPI | 1124782842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET ST. PIERRE Office Manager 219-836-9368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2022-06-17 |