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1578760849
PETER DEC
PORTAGE, IN
NPI
1578760849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05004491A)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
-- PETER DEC LPT
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
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Mailing Address
-- PETER DEC LPT
1503 THORNHILL DR
SCHERERVILLE, IN 46375-3000
Phone number: 219-864-1905
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ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC