| NPI | 1164023503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANIYU AZEEZ Physical Therapist/Owner 219-614-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |