| NPI | 1437164019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIVIN GERGES Partner Physical Therapist 219-736-9169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05008044A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05008020A) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |