Memorial Health System, Inc.

NPI #1013133487 in La Porte, Indiana

Provider Information

NPI Number: 1013133487
Entity Type: Organization
Organization Name: Memorial Health System, Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Apr 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 900 I ST
City: La Porte
State: Indiana
ZIP Code: 46350-5533
Phone: (219) 324-1700

Authorized Official

Name: MR. JEFFREY COSTELLO
Title: VP-CFO
Phone: (574) 647-3549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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