| NPI | 1528403714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZOZA MORSI ABDALLAH President 219-513-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IN 05004041A) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-07-09 |