Individual
CARLY OBOIKOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
370 W 80TH PL, MERRILLVILLE, IN 46410-5432
(219) 513-8311
Mailing address
1249 S BRAINARD AVE, LA GRANGE, IL 60525-6606
(708) 567-9359
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.025205
IL
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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