Individual
EDGARDO LAHER ELISCUPIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
7495 KESTREL ST, HOBART, IN 46342-6950
(219) 947-1786
Mailing address
7495 KESTREL STREET, HOBART, IN 46342
(219) 947-1786
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008511A
IN
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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