| NPI | 1659445286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M HAYES Ins Coordinator 219-548-3828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05003279A) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |