Individual
RYAN J. BOILEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
RESTORE THERAPY SERVICES, 6100 MILLER AVE., GARY, IN 46403
(219) 427-0196
Mailing address
248 GREGORY AVE, MUNSTER, IN 46321-1012
(708) 989-5981
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005288A
IN
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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