DR. Damilola Soetan, PT, DPT, AIB-PCON
NPI #1265097273 in Michigan City, Indiana
Provider Information
- NPI Number
- 1265097273
- Entity Type
- Individual
- Name
- DR. Damilola Soetan, PT, DPT, AIB-PCON
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT, AIB-PCON
- Enumeration Date
- May 6, 2019
- Last Updated
- Jun 11, 2019
Practice Location
- Address
- 3777 N FRONTAGE RD STE 100
- City
- Michigan City
- State
- Indiana
- ZIP Code
- 46360-7696
- Phone
- (219) 872-2933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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