Individual
PETER DEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
6040 LUTE RD, PORTAGE, IN 46368-5008
(219) 763-6858
(219) 763-4858
Mailing address
1503 THORNHILL DR, SCHERERVILLE, IN 46375-3000
(219) 864-1905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004491A
IN
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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