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Individual

CHARRU MALIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1534 119TH ST, WHITING, IN 46394-1733
(219) 655-5285
(219) 655-5472
Mailing address
1534 119TH ST, WHITING, IN 46394-1733
(219) 864-3300
(219) 864-2569

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009076A
IN
225100000X
Physical Therapist
5501012923
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000491371
ANTHEM - 1ST AID PLUS
IN
01
000000491408
ANTHEM - APT PLUS
IN
01
000000491681
ANTHEM - MBWOUDE
IN
Enumeration date
10/02/2006
Last updated
05/11/2017
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