| NPI | 1750477873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIRA FAIZANA MOHAMMED Physical Therapist 219-670-4288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |