| NPI | 1386698884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE M WATERFIELD Director Of Office Administration 219-864-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |