Mitchell Tannenbaum, PT

NPI #1467592311 in Dyer, Indiana

Provider Information

NPI Number
1467592311
Entity Type
Individual
Name
Mitchell Tannenbaum, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Feb 8, 2007
Last Updated
Nov 23, 2011

Practice Location

Address
425 US ROUTE 30
Address 2
SUITE 320
City
Dyer
State
Indiana
ZIP Code
46311
Phone
(219) 864-0290

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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