| NPI | 1790974988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSTAFA A NOUR Owner/Director 219-663-7081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: IN 05004040A) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-11-01 |