| NPI | 1255561759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT SLAGER Clinic Operations Director 219-310-8584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |