ProviderBusinessMailingAddressFaxNumber = '5742718425'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1700021912 | | | | ROBERT J AMICO PT INC | 418 W CLEVELAND RD | GRANGER | IN | 465305638 |
| 1801904818 | AMICO | ROBERT | JOHN | | 418 WEST CLEVELAND RD | GRANGER | IN | 465309577 |
| 1306513841 | CAVANAUGH | JACKSON | TOBIN | | 418 W CLEVELAND RD STE B | GRANGER | IN | 465305638 |
| 1679203699 | CHISM | JESSICA | A | | 418 W CLEVELAND RD | GRANGER | IN | 465305638 |
| 1962028845 | FITZER | MATTHEW | JAMES | | 418 W CLEVELAND RD | GRANGER | IN | 465305638 |
| 1326713009 | HURTT | TROY | EUGENE | | 418 W CLEVELAND RD STE B | GRANGER | IN | 465305638 |
| 1548815350 | MOON | STEVE | | | 418 W CLEVELAND RD | GRANGER | IN | 465305638 |
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