| NPI | 1568840247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY M AKINBOBUYI President 219-616-8842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2025-06-27 |