| NPI | 1922051184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY HORAN Corporate Operations Specialist 219-365-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY N/A) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |