Organization
GANIYU AZEEZ PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GANIYU AZEEZ PT (PHYSICAL THERAPIST/OWNER)
(219) 614-4501
Entity
Organization
Contact information
Practice address
8691 CONNECTICUT ST STE C, MERRILLVILLE, IN 46410-6239
(219) 614-4501
(888) 727-6224
Mailing address
PO BOX 11269, MERRILLVILLE, IN 46411-1269
(219) 614-4501
(888) 727-6224
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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