Individual
DR. GODWIN O BIOKORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3025 E MICHIGAN BLVD, TRAIL CREEK, IN 46360-6522
(219) 221-6331
(219) 221-6694
Mailing address
3025 E MICHIGAN BLVD, TRAIL CREEK, IN 46360-6522
(219) 221-6331
(219) 221-6694
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005175A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200673860
FIRST STEPS PROGRAM
IN
Enumeration date
11/21/2006
Last updated
06/18/2008
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