Individual
JUSTIN BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1114 E COMMERCIAL AVE, LOWELL, IN 46356-2359
(219) 690-1048
Mailing address
600 OAKMONT LN, STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009897A
IN
Other
Enumeration date
07/18/2016
Last updated
05/20/2020
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