Organization
ST MENA THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADY ELMALH (P.T.)
(219) 308-9211
Entity
Organization
Contact information
Practice address
9150 DRAKE DR, SAINT JOHN, IN 46373-9066
(219) 308-9211
(219) 558-2052
Mailing address
9150 DRAKE DR, SAINT JOHN, IN 46373-9066
(219) 308-9211
(219) 558-2052
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070009472
IL
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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