Organization
RELIANCE PHYSICAL THERAPY AND WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLUMBUS O MBACHU DPT (PRESIDENT)
(219) 769-6037
Entity
Organization
Contact information
Practice address
300 W 80TH PL STE D, MERRILLVILLE, IN 46410-5476
(219) 769-6037
(219) 769-6113
Mailing address
300 W 80TH PL STE D, MERRILLVILLE, IN 46410-5476
(219) 769-6037
(219) 769-6113
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
05004975A
IN
Other
Enumeration date
05/01/2013
Last updated
11/23/2013
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