| NPI | 1649424698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SLAWOMIR ADAM KOWALCZYK Owner 219-789-9747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 53000113A) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |