| NPI | 1386154821 |
|---|---|
| Doing Business As | BEACON PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY PETER COSTELLO CFO 574-647-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2023-04-28 |