Organization
PHYSICIANS REHABILIATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GANIYU AZEEZ PT (ADMINISTRATOR)
(219) 981-8111
Entity
Organization
Contact information
Practice address
3567 VILLAGE CT, GARY, IN 46408-1427
(219) 981-8111
(219) 981-8123
Mailing address
3567 VILLAGE CT, GARY, IN 46408-1427
(219) 981-8111
(219) 981-8123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003421A
IN
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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