Great Lakes Orthopedics Physical Therapy P.c.

NPI #1548764376 in Saint John, Indiana

Provider Information

NPI Number: 1548764376
Entity Type: Organization
Organization Name: Great Lakes Orthopedics Physical Therapy P.c.
Primary Specialty: Physical Therapist
Enumeration Date: Mar 19, 2018
Last Updated: Apr 13, 2018

Practice Location

Address: 9615 KEILMAN ST
City: Saint John
State: Indiana
ZIP Code: 46373-9406
Phone: (219) 365-0220

Authorized Official

Name: KEITH PITCHFORD
Title: PRESIDENT/CEO
Phone: (219) 365-0220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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