Individual
ROBERT JOHN AMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
418 W CLEVELAND RD, GRANGER, IN 46530-5638
(574) 271-8424
(574) 271-8425
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-3725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004562A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200809450
—
IN
Enumeration date
08/29/2006
Last updated
03/20/2026
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