Individual
MR. GAURAV VINAY DAMBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
425 SAND CREEK DR STE C, CHESTERTON, IN 46304-1590
(219) 926-9779
(219) 926-9889
Mailing address
425 SAND CREEK DR STE C, CHESTERTON, IN 46304-1590
(219) 926-9779
(219) 926-9889
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013904A
IN
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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