RONALD DALE KNICKREHM

VALPARAISO, IN
NPI1689761116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05001536A)
Enumeration Date2006-10-06
Last Update Date2007-07-08
Business Address
Mr. RONALD DALE KNICKREHM PT
2102 EAST EVANS AVENUE SUITE 115
VALPARAISO, IN 46383-4096
Phone number: 219-476-0377
Mailing Address
Mr. RONALD DALE KNICKREHM PT
1145 SWANSON DRIVE
LA PORTE, IN 46350
Phone number: 219-324-4106