Organization
GREAT LAKES PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA L GRAY (MANAGER)
(219) 765-8291
Entity
Organization
Contact information
Practice address
1129 MERRILLVILLE RD, CROWN POINT, IN 46307-2710
(219) 661-8008
(219) 661-8998
Mailing address
514 BEN DR, SCHERERVILLE, IN 46375-1260
(219) 765-8291
(219) 864-8594
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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