Organization
UNITED THERAPY & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY M AKINBOBUYI RPT (DIRECTOR)
(219) 769-0711
Entity
Organization
Contact information
Practice address
6966 BROADWAY, MERRILLVILLE, IN 46410-3696
(219) 769-0711
Mailing address
6966 BROADWAY, MERRILLVILLE, IN 46410-3696
(219) 769-0711
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
31002378A
IN
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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