PETER STAFFORD

CROWN POINT, IN
NPI1962436675
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05006990A)
Enumeration Date2006-07-10
Last Update Date2007-12-18
Business Address
-- PETER STAFFORD P.T.
11450 BROADWAY
CROWN POINT, IN 46307-7106
Phone number: 219-488-0157
Mailing Address
-- PETER STAFFORD P.T.
11450 BROADWAY
CROWN POINT, IN 46307-7106
Phone number: 219-488-0157
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