| NPI | 1437362076 |
|---|---|
| Doing Business As | KDM PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JOHN M DIVERIS President 219-263-8849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01040065A) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2023-06-09 |