Daniel R. Roque Pt, P.c.

NPI #1780896571 in Munster, Indiana

Provider Information

NPI Number: 1780896571
Entity Type: Organization
Organization Name: Daniel R. Roque Pt, P.c.
Primary Specialty: Physical Therapist
Enumeration Date: May 4, 2007
Last Updated: May 27, 2008

Practice Location

Address: 9209 MARIGOLD LANE
City: Munster
State: Indiana
ZIP Code: 46321-3016
Phone: (219) 670-5388

Authorized Official

Name: MR. DANIEL R. ROQUE, P. T.
Title: PRESIDENT
Phone: (219) 670-5388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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