| NPI | 1184714594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENEDICTA BOSEDE OHIANI-JEGEDE Physical Therapist 219-980-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05005347A) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2020-08-22 |