| NPI | 1003564592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA DAWSON TANDY Physical Therapist 574-453-8548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-03-21 |