Organization
LAKE CENTRAL SCHOOL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA GROMALA (DIRECTOR OF SPECIAL EDUCATION)
(219) 365-1171
Entity
Organization
Contact information
Practice address
8260 WICKER AVE, SAINT JOHN, IN 46373-8876
(219) 365-8507
Mailing address
8260 WICKER AVE, SAINT JOHN, IN 46373-8876
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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