| NPI | 1275615361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW TEIBEL Owner/Administrator 219-924-3108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05008772A) |
| Additional Taxonomies | 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation (Licence: IN 30003890A) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |