Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 05005930A | IN |
NPI | 1003054669 |
---|---|
Provider Name | Keshmee Singh |
First Address | Munster, IN 46321 |
Second Address | Dyer, IN 46311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2009 |
Last Update Date | 18/03/2011 |