| NPI | 1558437772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANIYU AZEEZ Administrator 219-981-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05003421A) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |