| NPI | 1295276152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L CAMPBELL Owner/PT 219-916-9176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05008269A) |
| Enumeration Date | 2017-03-12 |
| Last Update Date | 2023-12-26 |