| NPI | 1780016691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY M AKINBOBUYI President 219-616-8842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 5003850A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 5003417) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-10-16 |