| NPI | 1144560533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UJWALA PURANIK PURANIK Practice Administrator 219-326-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |