Individual
MR. MOHAMED LATIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
931 RIDGE RD, MUNSTER, IN 46321-1755
(219) 836-2800
Mailing address
7132 HARRISON STREET, MERRIVILLE, IN 46410
(219) 741-7341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004117A
IN
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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