Individual
TEJASWINI SHIVANAND BANGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
5620 SOHL AVE, HAMMOND, IN 46320-2008
(219) 245-2230
Mailing address
7819 LINDEN ST, DYER, IN 46311-2465
(219) 488-7534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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