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Organization
UNITED THERAPY AND SPORTS MEDICINE INC
Active
Organization
UNITED THERAPY AND SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY M AKINBOBUYI P.T (PRESIDENT)
(219) 616-8842
Entity
Organization
Contact information
Practice address
6966 BROADWAY, MERRILLVILLE, IN 46410-3696
(219) 616-8842
Mailing address
6966 BROADWAY, MERRILLVILLE, IN 46410-3696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5003417
IN
225100000X
Physical Therapist
Primary
5003850A
IN
Other
Enumeration date
08/01/2013
Last updated
10/16/2013
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