Individual
HERMANN BRICE MOFANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2307 LA PORTE AVE., SUITE 5, VALPARAISO, IN 46383-6997
(219) 477-4500
(866) 715-9733
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014511A
IN
Other
Enumeration date
09/06/2015
Last updated
04/29/2026
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