| NPI | 1144093857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ASPIRAS Alte RN Ate Administrator 219-765-9583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |