Individual
CHESTER K PABLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6040 LUTE RD, PORTAGE, IN 46368-5008
(219) 763-6858
(219) 763-4858
Mailing address
6040 LUTE RD, PORTAGE, IN 46368-5008
(219) 763-6858
(219) 763-4858
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008880A
IN
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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