| NPI | 1265519151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY HALL Director Of Admin Operations 219-250-3203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2024-11-27 |