Ganiyu Azeez Pt
Clinic/Center, Physical Therapy in Merrillville, IN. Organization (NPI-2).
NPI number1164023503
StatusActive
Last updated in NPPESNov 3, 2020
Details
- NPI
- 1164023503
- Entity type
- Organization (NPI-2)
- Legal business name
- Ganiyu Azeez Pt
- Organization subpart
- No
- Enumeration date
- Nov 3, 2020
- Certification date
- Nov 3, 2020
- Last updated
- Nov 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
8691 Connecticut St Ste CMerrillville, IN 46410-6239
Phone 219-614-4501 · Fax 888-727-6224
Mailing address
Po Box 11269Merrillville, IN 46411-1269
Phone 219-614-4501 · Fax 888-727-6224
Other practice locations
123 S McKinley Ave
Rensselaer, IN 47978-2949
Rensselaer, IN 47978-2949
Phone 219-614-4501 · Fax 888-727-6224
Authorized official
Ganiyu Azeez
Physical Therapist/Owner
2196144501
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