Organization
KIDS FOR LIFE PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA FILIPINA MARIANO PANTIG PT (PHYSICAL THERAPIST)
(574) 273-1442
Entity
Organization
Contact information
Practice address
19167 GLENDALE AVE, SOUTH BEND, IN 46637-2706
(574) 273-1442
(574) 273-1442
Mailing address
19167 GLENDALE AVE, SOUTH BEND, IN 46637-2706
(574) 273-1442
(574) 273-1442
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003203A
IN
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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