Lake Central School Corporation
NPI #1841627866 in Saint John, Indiana
Provider Information
- NPI Number
- 1841627866
- Entity Type
- Organization
- Organization Name
- Lake Central School Corporation
- Primary Specialty
- Physical Therapist - Pediatrics
- Enumeration Date
- Oct 4, 2013
- Last Updated
- Oct 4, 2013
Practice Location
- Address
- 8260 WICKER AVE
- City
- Saint John
- State
- Indiana
- ZIP Code
- 46373-8876
- Phone
- (219) 365-8507
Authorized Official
- Name
- MRS. REBECCA GROMALA
- Title
- DIRECTOR OF SPECIAL EDUCATION
- Phone
- (219) 365-1171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Pediatrics — Pediatrics |
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