Organization
PHYSICAL THERAPY/E.T.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD JOHN STEELE P.T. (PHYSICAL THERAPIST)
(219) 322-2624
Entity
Organization
Contact information
Practice address
2121 NORTHWINDS DR, SUITE 1A, DYER, IN 46311-1882
(219) 322-2624
(219) 864-0428
Mailing address
PO BOX 1778, HIGHLAND, IN 46322-0778
(219) 322-2624
(219) 864-0428
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05000420A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089040
ANTHEM BC/BS
IN
Enumeration date
01/02/2008
Last updated
01/02/2008
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