Individual
COLUMBUS O MBACHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
300 W 80TH PL STE D, MERRILLVILLE, IN 46410-5476
(219) 769-6037
(219) 769-6113
Mailing address
965 ALDERBROOK CT, CROWN POINT, IN 46307-2637
(219) 663-6758
(219) 769-6113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004975A
IN
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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