Great Lakes Orthopedics and Sports Medicine, P.c.

NPI #1336363266 in Crown Point, Indiana

Provider Information

NPI Number: 1336363266
Entity Type: Organization
Organization Name: Great Lakes Orthopedics and Sports Medicine, P.c.
Primary Specialty: Physical Therapist
Enumeration Date: Apr 12, 2007
Last Updated: Mar 13, 2017

Practice Location

Address: 1129 MERRILLVILLE RD
City: Crown Point
State: Indiana
ZIP Code: 46307-2710
Phone: (219) 661-8008

Authorized Official

Name: MR. KEITH PITCHFORD, DO
Title: OWNER
Phone: (219) 365-0220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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