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Physicians Physical Medicine & Rehabilitation Hospice and Palliative Medicine

Provider NPI: 1083838841

Provider Information:
Gender: F
Sole Proprietor

Practice Location:
Tel: 219-477-5831  Fax: --

Business Mailing Address:
Tel: 219-477-5831  Fax: --

NPI Information:
NPI: 1083838841
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Physical Medicine & Rehabilitation
Hospice and Palliative Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2081H0002X





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