| NPI | 1700835808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI VALENTINE Vice President Of Business Affairs 219-922-9508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT22239) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |