Individual
JAMES CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 GREAT LAKES DR, DYER, IN 46311-1917
(219) 322-3555
Mailing address
2300 GREAT LAKES DR, DYER, IN 46311-1917
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010664A
IN
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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