NPI 1639270010

Worksport Rehabilitation Service

Organisation Specialist La Porte, IN

Practice location

Address: 2338 N US Highway 35, La Porte, IN 46350-8380
Phone: (219) 325-0060
Fax: (219) 325-9919

Authorised official

Name: Randall Brooks
Title: President/Owner
Phone: (219) 325-0060

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 05002570A (IN)

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Registry record

NPI: 1639270010
Entity type: Organization
NPI issued: 26 Sep 2006
Record last updated: 18 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.