| NPI | 1174849228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DAVA Physical Therapy 219-308-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05007718A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05005489A) |
| 225100000X Physical Therapist (Licence: IN 05009224A) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-04-14 |