| NPI | 1336363266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH PITCHFORD Owner 219-365-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05006551A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05004069A) |
| 225100000X Physical Therapist (Licence: IN 05007558A) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2017-03-13 |