Organization
SPORTS PT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS FENN PT, MBA, CSCS (OWNER)
(219) 776-8008
Entity
Organization
Contact information
Practice address
1129 MERRILLVILLE RD, CROWN POINT, IN 46307-2710
(219) 661-8008
(219) 661-8998
Mailing address
PO BOX 546, SCHERERVILLE, IN 46375-0546
(219) 661-8008
(219) 661-8998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/10/2008
Last updated
02/10/2009
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