PETER DEC

PORTAGE, IN
NPI1578760849
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05004491A)
Enumeration Date2007-06-29
Last Update Date2007-07-08
Business Address
-- PETER DEC LPT
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
Mailing Address
-- PETER DEC LPT
1503 THORNHILL DR
SCHERERVILLE, IN 46375-3000
Phone number: 219-864-1905
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