| NPI | 1871361071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEIGH BRADSKY Physical Therapist 219-796-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |