Individual
LAURA WASSILAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1120 S CALUMET RD, SUITE 3, CHESTERTON, IN 46304-3285
(219) 983-9675
(219) 983-9681
Mailing address
102 SOMERSET DR, VALPARAISO, IN 46383-2478
(219) 477-6943
(219) 983-9681
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009358A
IN
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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